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    • 2018 Consensus...

    2018 Consensus Recommendations for Intravitreal Injections: Check it out

    Written by Vinay Singh singh Published On 2018-07-10T19:28:46+05:30  |  Updated On 10 July 2018 7:28 PM IST
    2018 Consensus Recommendations for Intravitreal Injections: Check it out

    Intravitreal injection (IVI) is widely used as the most common intraocular procedure in the treatment of a variety of conditions including age-related macular degeneration, diabetic macular edema, proliferative diabetic retinopathy, retinal vein occlusion, pathological myopia, uveitis, and many more.


    The article which appears in the journal Opthalmologica presents the updated review on IVI epidemiology and techniques. The article highlights the important aspects of pre- and postinjection management by examining the recent literature for evidence-based suggestions providing a standardized and structured approach.


    Expert consensus recommendations on intravitreal injections (IVI)


























































    Subject Recommendations
    Clinical setting for IVIOperating theater, adequate room or in-office setting
    AnestheticsTopical anesthesia
    No recommendation for a specific substance or technique
    Topical antisepsisTopical administrations of 5% povidone-iodine over at least 30 s into
    the conjunctival sac. Chlorhexidine for patients with local irritation
    due to povidone-iodine
    Perioperative antibioticsNot recommended
    Pupil dilationNo concluding recommendation, but it might be advisable for
    beginners in order to be able to immediately examine the retinal
    vessel perfusion after IVI
    Globe softeningNo recommendation
    Might be considered in vulnerable eyes
    Lid speculumSterile speculum is recommended
    Needle gauge and length30-gauge or thinner needles are recommended for liquid injections
    whereas larger needles should be used when necessary
    Injection locationInject through the pars plana, between 3.5 and 4 mm from the limbus
    Switch injection sites if patients receive repeated IVI
    Feasibility of bilateral injectionsHandle each injection as separate procedure
    Gloves/drapingGloves are recommended
    Draping may not be essential
    Use of facial masksFace masks recommended

    For more reference log on to https://doi.org/10.1159/000486145
    consensusdilationEuretinafacial masksgaugeglovesinjectionsIntravitrealIVIjournal Opthalmologicalid speculumNeedleperioperativepupilrecommendations
    Source : With inputs from the journal Opthalmologica

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    Vinay Singh singh
    Vinay Singh singh
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