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Intravitreous Injection for Establishing Ocular Diseases Model
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Intravitreal injection practice patterns among Chinese ophthalmologists.

Li Su1,2,3, Yin-Chen Shen1,2,3, Hong Li4

  • 1Department of Ophthalmology, Shanghai General Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200080, China.

International Journal of Ophthalmology
|September 19, 2024
PubMed
Summary

This survey reveals current intravitreal injection (IVI) practices among Chinese ophthalmologists, highlighting adherence to safety protocols and variations in pre- and post-injection procedures. Findings inform training and guideline development for IVI in China.

Keywords:
Chinese ophthalmologistsintravitreal injectionspractice patterntopical antibiotics

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Area of Science:

  • Ophthalmology
  • Retinal Diseases
  • Ophthalmic Surgery

Background:

  • Intravitreal injections (IVIs) are a cornerstone treatment for various retinal diseases.
  • Standardized practice patterns are crucial for optimizing patient outcomes and minimizing complications.

Purpose of the Study:

  • To delineate the current practice patterns of intravitreal injections (IVIs) among ophthalmologists in China.
  • To identify areas for potential standardization and improvement in IVI procedures.

Main Methods:

  • A cross-sectional, anonymous online survey was conducted among ophthalmologists in China.
  • Participants had performed over 100 IVIs and were queried on pre-injection, injection, and post-injection techniques and procedures.

Main Results:

  • 333 ophthalmologists responded, with high adherence to safety measures like prophylactic antibiotics (100%) and sterile techniques (e.g., masks 99.7%, gloves 99.4%).
  • Variations were noted in pupil dilation (61.26%), bilateral injections (51.05%), and post-injection assessments (IOP 32.43%, optic nerve perfusion 36.94%).
  • The superior temporal quadrant was the most common injection site (40.54%), with 30-gauge needles frequently used (approx. 75%).

Conclusions:

  • The study provides a comprehensive overview of real-world intravitreal injection practices in China.
  • Findings offer valuable insights for refining ophthalmologist education, training programs, and local society guidelines for IVIs.