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J Fr Ophtalmol ; 46(1): 41-48, 2023 Jan.
Artículo en Francés | MEDLINE | ID: mdl-36494264

RESUMEN

INTRODUCTION: Intravitreal injections (IVT) of a drug aim to rapidly obtain effective concentrations greater than those that would be obtained by a periocular or intravenous injection. The objective of the present study is to demonstrate the contribution of IVT in the treatment of pathologies of the posterior segment of the eye. METHODOLOGY: We conducted a 21-month ambidirectional observational study from January 1, 2020, to September 30, 2021. We included by nonprobability sampling all consenting patients admitted for IVT at IOTA Teaching Hospital. RESULTS: During our study, 201 patients were collected out of 30 739 patients seen in consultation. The hospital frequency of IVT was 0.65%. There were 111 women and 90 men. The M/F ratio was 0.82. The number of patients who received IVT antibiotics was 135. Anti-VEGF was injected in 64 patients. Two patients received IVT corticosteroids. Complications frequently encountered were pain at upon injection (94.03%), IOP spike (11.94%) and cataract (7.46%). In our sample, we observed an improvement in visual acuity in 56.21% of cases and a reduction in macular edema in 45.16% of cases. DISCUSSION: The contribution of IVT in the treatment of vitreoretinal diseases is extraordinary. Rigorous observation of aseptic technique and good practices protects against infectious complications. CONCLUSION: IVT has allowed us to effectively treat various diseases of the vitreous and retina. IVT is a simple procedure, but it must be performed with the same aseptic technique as surgical procedures.


Asunto(s)
Retinopatía Diabética , Glucocorticoides , Masculino , Humanos , Femenino , Glucocorticoides/uso terapéutico , Triamcinolona Acetonida/efectos adversos , Bevacizumab , Inyecciones Intravítreas , Inhibidores de la Angiogénesis , Factor A de Crecimiento Endotelial Vascular , Retinopatía Diabética/tratamiento farmacológico , Resultado del Tratamiento , Hospitales de Enseñanza
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