Intravitreal injection technique and monitoring: updated guidelines of an expert panel.
Intravitreal injection technique and monitoring: updated guidelines of an expert panel.
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DOI：
10.1097/iae.0000000000000399
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发表时间：
2014-12-01
期刊：
影响因子：
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通讯作者：
Williams, George A
中科院分区：
文献类型：
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作者：
Avery, Robert L;Bakri, Sophie J;Williams, George A
目得：回顾证据并提供关于玻璃体内（IVT）注射技术和监测的最新指南。方法：回顾2004年至2014年关于IVT注射的已发表文献，形成眼科专家小组圆桌会议审议的基础。结果：IVT注射次数的急剧增加伴随着IVT实践模式和技术相关证据的相应增加。专家小组确定了自2004年发布最初的IVT注射指南以来发生变化的一些领域，其中最值得注意的是缺乏证据支持常规使用注射前、注射中和注射后抗生素以降低眼内炎风险，以及含有患者和/或提供者口腔污染物的雾化液滴作为潜在感染源的作用。专家组强调继续应用聚维酮碘，并避免眼睑接触预定的注射部位和needle.CONCLUSION：更新指南IVT注射技术和监测的基础上发表的文献和专家小组审议的审查提出。
PURPOSE: To review evidence and provide updated guidelines on intravitreal (IVT) injection technique and monitoring.METHODS: A review of the published literature on IVT injection from 2004 to 2014 formed the basis for round table deliberations by an expert panel of ophthalmologists.RESULTS: The dramatic increase in the number of IVT injections has been accompanied by a comparable increase in evidence surrounding IVT practice patterns and techniques. The expert panel identified a number of areas that have evolved since publication of the original IVT injection guidelines in 2004, the most notable of which were a lack of evidence to support the routine use of pre-, peri-, and postinjection antibiotics to reduce the risk of endophthalmitis, and the role of aerosolized droplets containing oral contaminants from the patient and/or providers as a potential source of infection. The panel emphasized the continued importance of applying povidone-iodine to and avoiding eyelid contact with the intended injection site and needle.CONCLUSION: Updated guidelines on IVT injection technique and monitoring are proposed based on a review of published literature and expert panel deliberations.