Safety of Superior-Temporal Intravitreal Injections using the Cotton-Tip Applicator Lid-Retraction Technique
Journal Title: Journal of Ocular Biology - Year 2017, Vol 5, Issue 1
Abstract
Purpose: To demonstrate the safety of superior-temporal intravitreal injections using the cotton-tip applicator (CTA) lid-retraction technique. Methods: Retrospective chart review of superior-temporal IVT injections over a 10-year period. Results: Data from 2,227 superior temporal IVT injections were analyzed from 479 patients. The CTA method for lid retraction was utilized in 477 (99.6%) of the patients. No cases of endophthalmitis were reported and complications were limited to one vitreous hemorrhage, a single (aphakic) retinal detachment requiring repair, one patient with elevated intraocular pressure required anterior chamber paracentesis and five significant subconjunctival hemorrhages noted at the time of injection. A total of 1712 (76.2%) Bevacizumab, 484 (21.5%) aflibercept, 50 (2.2%) ranibizumab IVT injections were included. Conclusions: Superior-temporal injections with CTA guided elevation of the superior eyelid instead of a lid speculum is a safe and efficient method for IVT injection.
Authors and Affiliations
Eric M Shrier
Keywords
Related Articles
- EP ID EP246757
- DOI 10.13188/2334-2838.1000028
- Views 100
- Downloads 0
Multicenter Study of Infectious and Noninfectious Endophthalmitis after Intravitreal Ranibizumab Injections
Study background: The purpose of this study is to evaluate the overall incidence of infectious and non infectious endophthalmitis associated with intravitreal ranibizumab (IVR) injections. Methods: This is a retrospecti...
Corneal Limbal Stem Cell Cryopreservation
Background: Limbal stem cell therapy has been used successfully to treat various corneal disorders. Cryopreservation of limbal stem cells for the purpose of tissue banking can provide great benefits for eye patients. Alt...
Evaluation of Dry Eye in patients with Psoriasis
Purpose: To evaluate the role of routine tear film tests such as Schirmer, tear film break up time (TBUT), Rose Bengal staining (RBS) and conjunctival impression cytology for dry eye evaluation in patients with psoriasis...
Overview of Congenital, Senile and Metabolic Cataract
Opacity of the lens is a major public health problem of unknown causes and impaired vision of a large number of peoples. There are different forms of cataractous lenses including congenital, senile and metabolic associat...
Unilateral Acute Idiopathic Maculopathy Associated with Hand-Foot-Mouth Disease
Unilateral acute idiopathic maculopathy (UAIM) is a rare disorder that has been linked with coxsackie virus. A viral prodrome is common. We aim to add to the literature a case of challenging visual symptoms associated w...