A New Suggested Strategy for Safe Injection of Ozurdex

Autor: Stan Conston, Julia Singer, Chelsey Krambeer, Sepehr Bahadorani, Kendall Wannamaker, Michael A Singer, Wayne Tie
Rok vydání: 2019
Předmět:
Zdroj: Ophthalmic Surgery, Lasers and Imaging Retina. 50
ISSN: 2325-8179
2325-8160
DOI: 10.3928/23258160-20190129-14
Popis: BACKGROUND AND OBJECTIVES: Ozurdex intravitreal injection is performed via a patented injection device. However, there is a common misconception among ophthalmologists regarding the relation between the speed of applicator button depression and the speed of pellet injection. PATIENTS AND METHODS: Six dexamethasone intravitreal implants were injected into a calibrated ex vivo water bath. Three of the pellets were injected via rapid compression, whereas the other three implants were injected using a 3-second compression technique. The procedures were recorded using high-speed photography followed by calculation of pellet velocity and impact force. RESULTS: The mean impact velocity and force of the pellet insertion is significantly higher in the fast injection group compared to the slow injection group. CONCLUSIONS: By depressing the Ozurdex implant injector during a 3-second time interval, the impact force of the implant pellet is reduced by about 95%. This new technique will theoretically reduce the risk of retinal injury and vitreous hemorrhage from Ozurdex injections. [ Ophthalmic Surg Lasers Imaging Retina. 2019;50:e23–e25.]
Databáze: OpenAIRE