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TRIESENCETM INFORMED CONSENT FOR TRIESENCETM INTRAVITREAL INJECTION OF ACETONE INDICATIONS AND POSSIBLE BENEFITS Your eye doctor (ophthalmologist) has diagnosed you with an eye condition that causes
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How to fill out intravitreal injection - retinaassociates

How to fill out intravitreal injection:
01
Prepare the patient: Ensure the patient is in a comfortable position and explain the procedure to them. Answer any questions or concerns they may have.
02
Gather equipment: Gather all the necessary equipment, including the intravitreal injection kit, sterile gloves, sterile drapes, antiseptic solution, eye drops, and any additional items required by the healthcare provider.
03
Hand hygiene: Perform thorough hand hygiene by washing hands with soap and water or using hand sanitizer.
04
Prepare the sterile field: Open the sterile drapes and place them around the area where the injection will take place. This creates a sterile field to prevent contamination.
05
Prepare the medication: Prepare the intravitreal injection medication according to the instructions provided by the pharmaceutical company. Use aseptic technique to ensure the medication remains sterile.
06
Administer eye drops: Administer any necessary eye drops as prescribed by the healthcare provider to help numb and dilate the eye.
07
Cleanse the eye area: Cleanse the eye area with an antiseptic solution to reduce the risk of infection. Use sterile cotton swabs and wipe from the inner to the outer corner of the eye.
08
Put on sterile gloves: Put on sterile gloves to maintain a sterile environment during the injection procedure.
09
Administer the injection: Using the prepared medication, carefully inject the medication into the vitreous humor of the eye. Follow the prescribed technique and guidelines provided by the healthcare provider.
10
Remove gloves and clean up: Once the injection is complete, carefully remove the gloves and dispose of them properly. Clean up the area, disposing of any used items as per medical waste regulations.
11
Monitor the patient: Monitor the patient for any immediate post-injection reactions or complications. Provide appropriate post-injection care instructions to the patient.
Who needs intravitreal injection?
01
Patients with retinal diseases: Intravitreal injections are commonly given to patients with retinal diseases such as age-related macular degeneration (AMD), diabetic retinopathy, retinal vein occlusion, or macular edema.
02
Those who have not responded to other treatments: Intravitreal injections are usually considered when other treatments such as medication eye drops or oral medications have not been effective in managing the retinal condition.
03
Individuals at risk of vision loss: Intravitreal injections are helpful in preventing vision loss or preserving existing vision in patients with certain retinal diseases. They are typically recommended for those at risk of severe vision impairment or blindness.
04
Patients under the care of an ophthalmologist: Intravitreal injections are administered by ophthalmologists or retina specialists who have the expertise and training to perform this procedure safely and effectively. Patients should consult with their ophthalmologist to determine if intravitreal injection is the appropriate treatment option for their specific condition.
Please note that the information provided here is for informational purposes only and should not be considered as medical advice. It is important to consult with a qualified healthcare professional for personalized guidance and care.
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What is intravitreal injection?
Intravitreal injection is a procedure where medication is injected into the vitreous cavity of the eye.
Who is required to file intravitreal injection?
Ophthalmologists or healthcare providers who perform the injection are required to file intravitreal injection.
How to fill out intravitreal injection?
Intravitreal injection forms can be filled out with the patient's information, the medication used, dosage, and any relevant notes.
What is the purpose of intravitreal injection?
The purpose of intravitreal injection is to deliver medication directly into the eye to treat various eye conditions.
What information must be reported on intravitreal injection?
Information such as patient demographics, medication used, dosage, injection site, and any adverse reactions must be reported on intravitreal injection.
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