Intravitreal Injection Therapy
An intravitreal injection is a procedure in which a medication is injected into the eyeball with a very fine needle. This allows for medication to be delivered directly into the eye for maximum benefit. It can be done in the clinic or operating theatre, and admission to hospital is not necessary.
Intravitreal injection therapy has become the standard treatment for a range of serious retinal diseases. It is highly effective for diabetic retinopathy & maculopathy, age-related macular degeneration and retinal vein occlusions, etc. However, multiple injections may be necessary to keep the condition under control.
How is the procedure performed?
Eye drops are instilled in the eye just before the injection to numb the eye. The eye and the surrounding area will then be cleaned with an antiseptic agent.
During the procedure, the eye lids will be gently kept open with an instrument and you will be given instructions to look in a specific direction during the injection. The injection is done with a tiny needle, on the white of the eye (sclera).
In some cases, another tiny needle may be used to withdraw some fluid from the front of the eye to normalize the eye pressure. At the end of the procedure, antibiotic eye drops will be instilled.
Drugs are injected directly into the eye to effectively treat a range of diseases affecting the retina.
Medication used
The drugs used are Lucentis (Ranibizumab), Eylea (Aflibercept), Avastin (Bevacizumab) and Ozurdex (Dexamethasone). All have proven to be effective in preventing loss of vision. Your eye doctor will discuss with you the best medication for you. The choice of medication will depend on the condition being treated, general health status and individual responses to the medication.
Make an appointment with our eye specialist for professional medical advice for your eye treatment.
FAQs about intravitreal injection therapy
How do I prepare for the treatment?
No special preparation is necessary. You do not need to fast, and overnight admission to hospital is also not usually expected.
You should let your doctor know if you have had any recent change in your health condition e.g. recent stroke, heart attack, peptic ulcer disease/gastrointestinal bleed, unstable blood pressure or recent eye infection, etc. If you had unusual symptoms after your previous injection, you should also inform your doctor.
Is the injection painful?
During the procedure, your eye will be numbed with eye drops. The injection is done with a very fine needle and the sensation will be minimal.
What can I expect after the injection?
You can go home or go back to work after the injection. However, you will be given eye drops to use for a few days to reduce the risk of infection. If eye pressure needs to be controlled, eye drops will also be given to keep the eye pressure within acceptable limits.
You should keep the area around the eye clean. Activities that expose the eye to possible contamination (e.g. swimming) should be avoided for about a week after the injection.
You may experience mild eye discomfort or grittiness after the procedure. This is usually due to the antiseptic solution used to clean the eye before the injection. Occasionally, superficial bruising may occur, resulting in a red eye. This usually resolves in a few days.
It is not uncommon to see increased shadows drifting about in your field of vision (floaters). This is because some air may inadvertently be injected into the eye together with the drug. Floaters due to these air bubbles will disappear over a few days.
Intravitreal injection therapy is extremely effective for a range of retinal / macular diseases. This pre-treatment scan shows the swelling of the macula (macular edema) due to diabetes.
The swelling from diabetic macular edema resolved completely after a few injections.