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Related Experiment Video

Updated: Mar 16, 2026

Intravitreous Injection for Establishing Ocular Diseases Model
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CLINICAL EVALUATION OF THE RAPID ACCESS VITREAL INJECTION GUIDE: A Handheld Instrument for Assisting Intravitreal

Dennis P Han1, Kaitlin C McKenney, Judy E Kim

  • 1*Department of Ophthalmology, Medical College of Wisconsin, Milwaukee, Wisconsin; †Departments of Ophthalmology and Visual Sciences, and Epidemiology, University of Michigan, Ann Arbor, Michigan; and ‡Retina Associates, PA, Shawnee Mission, Kansas.

Retina (Philadelphia, Pa.)
|August 5, 2016
PubMed
Summary
This summary is machine-generated.

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The Rapid Access Vitreal Injection (RAVI) guide is as effective as traditional tools for intravitreal injections, achieving operative goals with similar low pain scores and potentially enhancing safety and efficiency.

Area of Science:

  • Ophthalmology
  • Surgical Instrumentation
  • Medical Device Evaluation

Background:

  • Intravitreal injections are common ophthalmic procedures.
  • Current methods often use separate eyelid speculums and measuring calipers.
  • A novel combined instrument, the Rapid Access Vitreal Injection (RAVI) guide, has been developed.

Purpose of the Study:

  • To clinically evaluate the RAVI guide for intravitreal injections.
  • To assess patient acceptance and complication rates associated with the RAVI guide.
  • To compare the RAVI guide's performance against traditional speculum/caliper use.

Main Methods:

  • A prospective study involving 54 patients undergoing intravitreal injections.
  • Comparison between the RAVI guide (n=32) and conventional speculum/caliper (n=22).

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  • Pain assessment using the Wong-Baker scale (0-10); operative goals tracked.
  • Main Results:

    • No significant difference in mean device-related pain scores between RAVI (0.6) and speculum (0.7) groups.
    • Higher rate of significant pain (≥2) in the speculum group (32%) vs. RAVI group (16%), though not statistically significant.
    • All operative goals, including precise needle guidance and avoiding lid/lash contact, were met for all patients.

    Conclusions:

    • The RAVI guide is equivalent to the eyelid speculum in achieving key operative goals.
    • Patient-reported pain levels were similarly low for both devices.
    • The RAVI guide shows potential for improving efficiency, accuracy, and safety in intravitreal injections.