An intravitreal injection delivers medicine inside the eye, into the vitreous. It is among the treatments for wet AMD, diabetic macular oedema and certain retinal vein occlusions. Quick and carefully supervised, it often causes more worry than pain.
Why this technique?
Anti-VEGF medicines and certain corticosteroids act directly on the retina, where the problem lies. They reduce leakage from abnormal blood vessels and macular oedema to stabilise or even improve vision.
Who performs the injection?
Intravitreal injections are performed by the practice's doctors, who also provide follow-up and determine treatment frequency.
What happens?
Preliminary examination with OCT, then preparation in a dedicated room.
Thorough disinfection of the eye and eyelids, anaesthesia with eye drops or gel.
An injection lasting a few seconds, followed by a vision check and instructions on what to monitor.
Frequency and follow-up
The number and frequency of injections vary with the disease and response to treatment, with regular OCT check-ups. Stopping without medical advice risks vision loss.
Signs to watch for after the injection
Increasing pain, marked redness, reduced vision or light sensitivity in the following days requires you to contact us without delay (rare but serious infection).
Frequently asked questions
Is it painful?
The eye is anaesthetised; you mainly feel pressure or contact. Discomfort or a foreign body sensation may persist for a few hours.
Can I drive afterwards?
It is preferable to come with someone and only drive when your vision is comfortable; follow the instructions provided at the practice.
How many injections will be needed?
This depends on the disease and the response: your doctor adjusts the frequency at each check-up.
In the event of sudden loss of vision or pain, see eye emergencies.
A question about your situation?
Your ophthalmologist answers your questions during the consultation. For a sudden symptom or sudden loss of vision, seek advice promptly: see the eye emergencies page.