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Ravi Patel, Jason R Mayer, Christopher Weller, Ingrid U Scott, David A Quillen; Safety of Intravitreal Injections Performed by Ophthalmology Residents. Invest. Ophthalmol. Vis. Sci. 2015;56(7 ):4177.
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© ARVO (1962-2015); The Authors (2016-present)
To investigate the safety profile of intravitreal injections performed by ophthalmology residents.
Retrospective consecutive series of 500 intravitreal injections performed between September 2009 and March 2014 at the Lebanon Veterans Affairs Medical Center by ophthalmology residents for patients with neovascular age related macular degeneration (AMD), diabetic macular edema (DME), or macular edema associated with retinal vein occlusion.<br />
No patient in this study developed endophthalmitis, traumatic cataract, uveitis, retinal tears, vitreous hemorrhage or retinal detachments. Three patients (2.4%) with preoperative pigment epithelial detachments developed retinal pigment epithelial tears (RPE) following intravitreal injection. All three patients developed RPE tears within 3 months of receiving intravitreal injection. These results are similar to those reported in the literature.
Results of this study suggest that, with appropriate training and supervision, ophthalmology residents can perform intravitreal injections with a similar safety profile to that reported in series of intravitreal injections performed by retina specialists. Larger studies are warranted to confirm these preliminary findings.
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