Survey of intravitreal injection techniques among retina specialists in Israel

Ori Segal,1,2 Yael Segal-Trivitz,1,3 Arie Y Nemet,1,2 Noa Geffen,1,2 Ronit Nesher,1,2 Michael Mimouni4 1Department of Ophthalmology, Meir Medical Center, Kfar Saba, 2The Sackler School of Medicine, Tel Aviv University, Tel Aviv, 3Department of Psychiatry, Geha Psychiatric Hospital, Petah Tikva, 4De...

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Autores principales:	Segal O, Segal-Trivitz Y, Nemet AY, Geffen N, Nesher R, Mimouni M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	retina intravitreal injection practices techniques patterns Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/233c9b4cf0084365a0508ae24c7b31d6
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spelling	oai:doaj.org-article:233c9b4cf0084365a0508ae24c7b31d62021-12-02T05:53:07ZSurvey of intravitreal injection techniques among retina specialists in Israel1177-5483https://doaj.org/article/233c9b4cf0084365a0508ae24c7b31d62016-06-01T00:00:00Zhttps://www.dovepress.com/survey-of-intravitreal-injection-techniques-among-retina-specialists-i-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Ori Segal,1,2 Yael Segal-Trivitz,1,3 Arie Y Nemet,1,2 Noa Geffen,1,2 Ronit Nesher,1,2 Michael Mimouni4 1Department of Ophthalmology, Meir Medical Center, Kfar Saba, 2The Sackler School of Medicine, Tel Aviv University, Tel Aviv, 3Department of Psychiatry, Geha Psychiatric Hospital, Petah Tikva, 4Department of Ophthalmology, Rambam Health Care Campus, Haifa, Israel Purpose: The purpose of this study was to describe antivascular endothelial growth factor intravitreal injection techniques of retinal specialists in order to establish a cornerstone for future practice guidelines. Methods: All members of the Israeli Retina Society were contacted by email to complete an anonymous, 19-question, Internet-based survey regarding their intravitreal injection techniques. Results: Overall, 66% (52/79) completed the survey. Most (98%) do not instruct patients to discontinue anticoagulant therapy and 92% prescribe treatment for patients in the waiting room. Three quarters wear sterile gloves and prepare the patient in the supine position. A majority (71%) use sterile surgical draping. All respondents apply topical analgesics and a majority (69%) measure the distance from the limbus to the injection site. A minority (21%) displace the conjunctiva prior to injection. A majority of the survey participants use a 30-gauge needle and the most common quadrant for injection is superotemporal (33%). Less than half routinely assess postinjection optic nerve perfusion (44%). A majority (92%) apply prophylactic antibiotics immediately after the injection. Conclusion: The majority of retina specialists perform intravitreal injections similarly. However, a relatively large minority performs this procedure differently. Due to the extremely low percentage of complications, it seems as though such differences do not increase the risk. However, more evidence-based medicine, a cornerstone for practice guidelines, is required in order to identify the intravitreal injection techniques that combine safety and efficacy while causing as little discomfort to the patients as possible. Keywords: retina, intravitreal, injection, practices, techniques, patternsSegal OSegal-Trivitz YNemet AYGeffen NNesher RMimouni MDove Medical PressarticleretinaintravitrealinjectionpracticestechniquespatternsOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2016, Iss Issue 1, Pp 1111-1116 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	retina intravitreal injection practices techniques patterns Ophthalmology RE1-994
spellingShingle	retina intravitreal injection practices techniques patterns Ophthalmology RE1-994 Segal O Segal-Trivitz Y Nemet AY Geffen N Nesher R Mimouni M Survey of intravitreal injection techniques among retina specialists in Israel
description	Ori Segal,1,2 Yael Segal-Trivitz,1,3 Arie Y Nemet,1,2 Noa Geffen,1,2 Ronit Nesher,1,2 Michael Mimouni4 1Department of Ophthalmology, Meir Medical Center, Kfar Saba, 2The Sackler School of Medicine, Tel Aviv University, Tel Aviv, 3Department of Psychiatry, Geha Psychiatric Hospital, Petah Tikva, 4Department of Ophthalmology, Rambam Health Care Campus, Haifa, Israel Purpose: The purpose of this study was to describe antivascular endothelial growth factor intravitreal injection techniques of retinal specialists in order to establish a cornerstone for future practice guidelines. Methods: All members of the Israeli Retina Society were contacted by email to complete an anonymous, 19-question, Internet-based survey regarding their intravitreal injection techniques. Results: Overall, 66% (52/79) completed the survey. Most (98%) do not instruct patients to discontinue anticoagulant therapy and 92% prescribe treatment for patients in the waiting room. Three quarters wear sterile gloves and prepare the patient in the supine position. A majority (71%) use sterile surgical draping. All respondents apply topical analgesics and a majority (69%) measure the distance from the limbus to the injection site. A minority (21%) displace the conjunctiva prior to injection. A majority of the survey participants use a 30-gauge needle and the most common quadrant for injection is superotemporal (33%). Less than half routinely assess postinjection optic nerve perfusion (44%). A majority (92%) apply prophylactic antibiotics immediately after the injection. Conclusion: The majority of retina specialists perform intravitreal injections similarly. However, a relatively large minority performs this procedure differently. Due to the extremely low percentage of complications, it seems as though such differences do not increase the risk. However, more evidence-based medicine, a cornerstone for practice guidelines, is required in order to identify the intravitreal injection techniques that combine safety and efficacy while causing as little discomfort to the patients as possible. Keywords: retina, intravitreal, injection, practices, techniques, patterns
format	article
author	Segal O Segal-Trivitz Y Nemet AY Geffen N Nesher R Mimouni M
author_facet	Segal O Segal-Trivitz Y Nemet AY Geffen N Nesher R Mimouni M
author_sort	Segal O
title	Survey of intravitreal injection techniques among retina specialists in Israel
title_short	Survey of intravitreal injection techniques among retina specialists in Israel
title_full	Survey of intravitreal injection techniques among retina specialists in Israel
title_fullStr	Survey of intravitreal injection techniques among retina specialists in Israel
title_full_unstemmed	Survey of intravitreal injection techniques among retina specialists in Israel
title_sort	survey of intravitreal injection techniques among retina specialists in israel
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/233c9b4cf0084365a0508ae24c7b31d6
work_keys_str_mv	AT segalo surveyofintravitrealinjectiontechniquesamongretinaspecialistsinisrael AT segaltrivitzy surveyofintravitrealinjectiontechniquesamongretinaspecialistsinisrael AT nemetay surveyofintravitrealinjectiontechniquesamongretinaspecialistsinisrael AT geffenn surveyofintravitrealinjectiontechniquesamongretinaspecialistsinisrael AT nesherr surveyofintravitrealinjectiontechniquesamongretinaspecialistsinisrael AT mimounim surveyofintravitrealinjectiontechniquesamongretinaspecialistsinisrael
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Survey of intravitreal injection techniques among retina specialists in Israel

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