[Intravitreal anti-VEGF injections: The patient's experience]

Area of Science:

• Ophthalmology
• Retinal Diseases
• Patient Experience Research

Background:

• Intravitreal anti-VEGF injections (IVI) are a key treatment for retinal diseases.
• Some patients report discomfort and anxiety during IVI procedures.
• Understanding patient experience is crucial for improving care.

Purpose of the Study:

• To evaluate patient experience during intravitreal anti-VEGF injections.
• To identify factors influencing patient discomfort and anxiety.
• To suggest methods for enhancing patient tolerance.

Main Methods:

• Prospective study involving 139 patients.
• Assessment of pain and fear using a 0-10 visual analog scale.
• Evaluation before, during, and after the injection procedure.

Main Results:

• Pain scores were highest during speculum insertion, needle insertion, and drape removal.
• Fear was more prevalent in patients with fewer than three prior IVI.
• Significant variation in patient experience was observed across procedure stages.

Conclusions:

• Patient experience during IVI varies significantly.
• Techniques such as using a screw speculum and anesthetic swabs may improve tolerance.
• Addressing patient anxiety and pain points can enhance the overall IVI experience.