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2018 Consensus Recommendations for Intravitreal Injections: Check it out

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 IVI Operating theater, adequate room or in-office setting
Anesthetics Topical anesthesia
No recommendation for a specific substance or technique
Topical antisepsis Topical 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 antibiotics Not recommended
Pupil dilation No concluding recommendation, but it might be advisable for
beginners in order to be able to immediately examine the retinal
vessel perfusion after IVI
Globe softening No recommendation
Might be considered in vulnerable eyes
Lid speculum Sterile speculum is recommended
Needle gauge and length 30-gauge or thinner needles are recommended for liquid injections
whereas larger needles should be used when necessary
Injection location Inject through the pars plana, between 3.5 and 4 mm from the limbus
Switch injection sites if patients receive repeated IVI
Feasibility of bilateral injections Handle each injection as separate procedure
Gloves/draping Gloves are recommended
Draping may not be essential
Use of facial masks Face masks recommended

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Source: With inputs from the journal Opthalmologica

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