Little question the process of intravitreal injections has anchored itself as one of the crucial generally used practices in outpatient clinics of ophthalmology due to its easiness, excessive security and superior outcomes over different methods as laser photocoagulation.
However since there’s nothing devoid of flaws, we are going to spotlight the commonest problems after intravitreal procedures and tips on how to reduce their incidence.
Issues of intravitreal injections might be labeled it to three classes:
A. Issues associated to the approach used for making ready sufferers earlier than present process intravitreal injection:
1. The usage of lidocaine jelly as a topical anesthetic could act as bodily barrier to the motion of topical antimicrobial medication, so the topical antimicrobial drug ought to be instilled within the eye and allowed to behave for a minimum of 30 seconds earlier than utilizing the lidocaine jelly.
2. Subconjuctival injection of lidocaine is one other approach used to supply topical anaethesia. It ought to be prevented as a result of it’s considerably painful to create a subconjunctival bleb stuffed with lidocaine, and may result in subconjunctival hemorrhage 뇌출혈산재.
3. Extended publicity of the attention with the speculum in place and the corneal floor uncovered to corneo-toxic medication as lidocaine can result in put up injection ache, redness of the attention and tearing. This may be minimized by lowering the time interval between the affected person preparation and the method of intravitreal injection.
B. Issues associated to the process of intravitreal injection itself:
1. Endophthalmitis; the ophthalmologists’ nightmare, it has been reported to happen at a price of 0.1% (1 for each 1000 procedures) which is the same as the speed of endophthalmitis following phacoemulsification surgical procedure.
2. Vitreous hemorrhage.
3. Retinal tears.
4. Retinal detachment.
C. Issues associated to the injected medication:
1. Triamcinolone: the commonest are secondary elevated intraocular strain (ocular hypertension) which will progress to secondary steroid induced open angle glaucoma and elevated incidence of creating traumatic cataract.
2. Bevacizumab: the commonest with this drug embody; infectious endophthalmitis, retinal detachment, traumatic cataract, painless vitreous clouding.
To sum up we are able to conclude that the process of intravitreal injection of medication for treating numerous ophthalmic circumstances does have problems as there is not but a drugs or a therapeutic modality that has zero incidence of problems, The rarity of incidence of those problems along with the easiness of this method, it is superior outcomes in comparison with different therapeutic modalities and the effectively tolerance of the injected medication as proven from the varied research made on this concern, all these mixed exhibit why not solely intravitreal injection is taken into account an especially protected process but additionally why it’s changing into one of many mainstay outpatient procedures.
