(1)
St. Johns, FL, USA
(2)
Helen Keller Foundation for Research and Education, International Society of Ocular Trauma, Birmingham, AL, USA
(3)
Consultant and Vitreoretinal Surgeon, Milos Eye Hospital, Belgrade, Serbia
(4)
Consultant and Vitreoretinal Surgeon, Zagórskiego Eye Hospital, Cracow, Poland
This is not a surgical procedure, even though in many countries it must be done in the OR. I nevertheless include a very short to-do list (see Table 43.1) because the procedure is performed in increasingly great quantities.1 The technique is very similar for intraocular implants with slow-release medications, except the use of a special applicator in lieu of the syringe.
Table 43.1
The technique of intraocular injections
Step | Comment |
|---|---|
Counseling | Explain all steps to the patient; inform him that he may experience pressure (but no pain). Discuss with him the importance of monitoring his postinjection vision and pain level (endophthalmitis!) and IOPa |
Preoperative antibiotic drops | No benefit unless used (pre- and postinjection) for at least 5 daysb If meibomianitis or chronic blepharitis is present, it is advisable to treat the condition before the injection is givenc |
Preparing the patient just prior to the injection | Topical analgesia dropsd Povidone-iodine 10% on the periocular skin and the eyelashes Povidone-iodine 5% in the conjunctival sac Sterile speculume |
The injection itselff
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