What you need to know about:

Intravitreal Injection

Fast Fact

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Average Cost:
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Recovery Period:
No downtime
Permanence:
Not specified
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Time it takes:
15-30 minutes
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Overview of

Intravitreal Injection

in Thailand

Intravitreal injection is a procedure performed in order to place medication directly into the vitreous cavity. This is done to treat certain retinal conditions such as age-related macular degeneration, diabetic retinopathy, central retinal vein occlusion, retinal vascular disease, and infection. This method is most often used to get a higher level of medicine to the retina. The medicine can treat certain eye problems and help protect the vision.

Goals of

Intravitreal Injection

This procedure is used to treatNeovascular age-related macular degeneration (AMD) or wet age-related macular degeneration (AMD) Diabectic macular edema (DME) Macular edema secondary to retinal vein occlusion (RVO), including branch retinal vein occlusion and central retinal vein occlusion Abnormal growth of blood vessels in the macula due to pathologic myopia, injury to the eye, or unknown reasons Infection or inflammation in the eye, such as uveitis, endophthalmitis after an accident or surgery or spreading from another part of the body

Price of

Intravitreal Injection

Average Cost

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Price Range

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Pros and cons of

Intravitreal Injection

Pros

This procedure helps in reducing the swelling of the retina and the severity of disease. This helps to improve or maintain the vision and reduce the risk of visual loss. However, the results depend on the certain eye conditions of each patient.

Cons

N/A

How it works:

Intravitreal Injection

Your eyes and the skin around your eyes will be cleaned with antiseptic solutin. Your face will be covered with the sterile cloth. The doctor will place the equipment to keep your eyes open, to prevent blinking and reduce the risk of infection. The doctor will inject the medication into the white part of the eyes. You may feel mild pressure during the procedure.

Preparation before

Intravitreal Injection

Pre - treatment

Your doctor will ensure that any active ocular surface infection are controlled and treated prior to the use of the intravitreal therapy. He/she will also discuss your use of any anti-platelet agents or anticoagulants, athough It is not necessary to cease these medications prior to the intravitreal therapy.

Recovery after

Intravitreal Injection

Post - treatment

Avoid getting any water in your eye for at least one to three days after the procedure to prevent infection. Do not rub your eyes and avoid getting anything in your eyes. Please see your doctor immediately if you experience eye pain, redness, and/or discharge or blurry vision after the injection. Please keep all scheduled appointments and treatment plan strictly.

Risks & side effects

The complications of the procedure include pain, redness, increase eye pressure and infection. Please contact your doctor immediately if you experience any symptoms such as severe pain, eye discharge or visual deterioration after the injection.

FAQs:

Intravitreal Injection

What medications are used for the injection?

Anti-vascular endothelial growth factor (anti-VEGF), including: Bevacizumab (Avastin) Ranibizumab (Lucentis) Aflibercept (Eylea) Anti-VEGF medications interrupt the production of the abnormal blood vessels in the retina and choroid. These drugs help in reducing the fluid leakage from the blood vessels and decrease swelling of the macula. Steroids, such as ozurdex, triamcinolone, and dexamethasone. The steroid help in reduce the inflammation and fluid leakage. Antibiotics, such as anti-bacterial, anti-fungal, and anti-viral medications. These drugs are used to treat the infection in the eye such as endophthalmitis and retinitis.

What are the travel recommendations after getting the procedure?

Please bring a family member or friend with you to the appointment. If you travel for the treatment, we recommend staying at a hotel close to the hospital. Please keep all follow-up appointments. If you must cancel, please contact the staff for the new proper appointment. This procedure does not affect your ability to travel.

What is the likelihood of success?

The success of the procedure mainly depends on the type, location, and severity of the disease. Early treatment will be more effective and give better results than the late treatment. The success is limited in case of advance disease with extensive damage of the macula.

Is there another way for these medications to be administered?

The anti-VEGF medications are proteins that cannot be administered into the eye in any way other than injection. Topical therapy was tried and did not work. Steroid injections into the eye (ozurdex and illuvein) can be given systemically and topically. The dosage level achieved by these alternate routes does not work to treat most macular disease.

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M.D.
U Ko Ko Tin
Ophthalmology
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M.D.
Priyanuch Thongcharoen
Ophthalmology
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M.D.
Nawachon Sirikarnjanapol
Ophthalmology
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M.D.
Nattapol Pokawattana
Ophthalmic Plastic and Reconstructive Surgeon
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M.D.
U Ko Ko Tin
Ophthalmology
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Priyanuch Thongcharoen
Ophthalmology

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