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Anterior Segment Complications Following Intravitreal Injection
Lars H B Mackenbrock1, Gerd U Auffarth1, Michael Albrecht1
1Department of Ophthalmology, University Hospital Heidelberg, Germany.
Klinische Monatsblatter Fur Augenheilkunde
|August 15, 2024
Summary
Intravitreal injections (IVI) are common in ophthalmology but can cause anterior segment complications. While many resolve quickly, some IVI complications may increase risks during future surgeries.
Area of Science:
- Ophthalmology
- Medical Procedures
Background:
- Intravitreal injections (IVI) are increasingly prevalent, surpassing cataract surgeries in 2010.
- While posterior segment complications are well-documented, anterior segment issues are also significant.
Purpose of the Study:
- To review anterior segment complications associated with intravitreal injections.
- To highlight both immediate and potential long-term consequences of IVI.
Main Methods:
- Literature review of intravitreal injection complications.
- Analysis of reported incidence rates for various anterior segment adverse events.
Main Results:
- Common anterior segment complications include hyphema, inflammation, and implant migration.
- Specific risks include iatrogenic lens damage, accelerated cataract formation (especially with steroids), and increased surgical complications.
Conclusions:
- Intravitreal injections can lead to various immediate anterior segment complications.
- Long-term risks, particularly increased complications in subsequent surgeries, warrant further investigation.
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