The field of ophthalmology offers various methods for managing complex eye conditions that affect the retina. One such procedure involves administering eye injections. This approach enables the targeted delivery of treatment to specific areas that require it. Understanding the purpose and process of this treatment can help individuals and their families navigate conversations with eye care professionals about managing certain retinal diseases.

What Are Eye Injections?

Eye injections are a procedure used to deliver medication into the vitreous cavity. By placing medication directly into this area, ophthalmologists can manage a range of conditions affecting the retina. This direct method of administration allows the medication to act precisely where it is needed. This bypasses the natural barriers that can prevent drugs taken orally or through eyedrops from reaching the retina in sufficient concentrations.

The medications used in these injections vary depending on the condition being treated. Some can be designed to block the effects of vascular endothelial growth factor (VEGF). Other medications may include corticosteroids to reduce inflammation. The specific treatment is selected based on a detailed evaluation of the patient’s eye health.

Who Are They For?

Intravitreal injections are used to manage several eye diseases, particularly those that affect the retina and macula. A retinal specialist may discuss this treatment option for patients diagnosed with wet age-related macular degeneration (AMD). This involves the growth of abnormal blood vessels under the retina. They are also a standard treatment for diabetic retinopathy and diabetic macular edema, complications of diabetes that can cause swelling and damage to the retina.

Other conditions that may be managed with eye injections include retinal vascular occlusions, which are blockages in the veins or arteries that supply blood to the retina. Ocular inflammation is another condition where injections may be used to deliver anti-inflammatory medication directly to the site of inflammation.

Determining if a patient is a candidate for this treatment involves a thorough evaluation. A specialist will review the patient’s medical history and discuss their symptoms with them. A comprehensive eye exam is performed. Specialized imaging tests, such as optical coherence tomography (OCT), can be used to create detailed cross-sectional images of the retina, enabling physicians to detect swelling or other structural abnormalities.

What Do They Involve?

The procedure for an intravitreal injection is performed in an outpatient setting and is typically brief. Before the injection, the eye is numbed with a local anesthetic, usually in the form of powerful numbing eye drops, to minimize discomfort.  A small device may be placed to gently hold the eyelids open, preventing blinking during the procedure. A very thin needle is used to inject the medication through the sclera, the white part of the eye.

After the injection, the specialist checks the eye and provides post-procedure guidance. This may include instructions on using antibiotic eye drops for a few days and information about what to expect. It is common to see floaters or have mild irritation for a short time after the injection. Following all post-visit instructions is a key part of the recovery process.

Meet With a Retinal Specialist

Individuals experiencing changes in their vision or who have been diagnosed with a retinal condition should consult a qualified retinal specialist. A consultation provides an opportunity to receive a comprehensive evaluation and an accurate diagnosis. A specialist can explain the available treatment options, including the potential risks, benefits, and alternatives associated with procedures like intravitreal injections. This discussion allows patients to make informed decisions about their care plan in partnership with their doctor.

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