{"id":3224,"date":"2022-10-24T12:46:53","date_gmt":"2022-10-24T11:46:53","guid":{"rendered":"https:\/\/profmunteanu.ro\/?p=3224"},"modified":"2023-09-05T09:30:14","modified_gmt":"2023-09-05T08:30:14","slug":"injectiile-intravitreene","status":"publish","type":"post","link":"https:\/\/profmunteanu.ro\/en\/injectiile-intravitreene\/","title":{"rendered":"Intravitreal injections: what are they and when are they used?"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"3224\" class=\"elementor elementor-3224\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f700a91 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f700a91\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-39ef754\" data-id=\"39ef754\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-70d5cb7 elementor-widget elementor-widget-heading\" data-id=\"70d5cb7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Intravitreal injections - when they are needed <br>and why not fear them?<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-20978f9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"20978f9\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1d52978\" data-id=\"1d52978\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-36cff81 elementor-widget elementor-widget-spacer\" data-id=\"36cff81\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f90f7ed elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f90f7ed\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0ce3077\" data-id=\"0ce3077\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a23f878 elementor-widget elementor-widget-text-editor\" data-id=\"a23f878\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Injectiile intravitreene reprezint\u0103 proceduri medicale inovatoare, utilizate \u00een tratamentul afec\u021biunilor oftalmologice. Acestea constau \u00een administrarea unei substan\u021be medicamentoase direct \u00een cavitatea vitrean\u0103 a ochiului, cu ajutorul unei seringi sub\u021biri \u0219i precise. Injectiile intravitreene sunt utilizate \u00een diverse indica\u021bii, precum degenerescenta macular\u0103 legat\u0103 de v\u00e2rst\u0103, retinopatia diabetic\u0103 sau edemul macular, \u0219i se bazeaz\u0103 pe eliberarea controlat\u0103 a medicamentului \u00een apropierea retinei, pentru a ob\u021bine un efect terapeutic optim. Prin intermediul acestor proceduri minim invazive, se pot ob\u021bine rezultate semnificative \u00een \u00eembun\u0103t\u0103\u021birea vederii \u0219i gestionarea complica\u021biilor oculare, oferind pacien\u021bilor o op\u021biune terapeutic\u0103 eficient\u0103 \u0219i sigur\u0103.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a91e858 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a91e858\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e19a150\" data-id=\"e19a150\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-730ff7b elementor-widget elementor-widget-spacer\" data-id=\"730ff7b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7c14151 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7c14151\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-42aaebf\" data-id=\"42aaebf\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ce98737 elementor-widget elementor-widget-heading\" data-id=\"ce98737\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">1. What are intravitreal injections?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e4b663b elementor-widget elementor-widget-text-editor\" data-id=\"e4b663b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>An intravitreal injection is a small but effective dose of medicine inserted into the vitreous cavity inside the eye to treat certain retinal conditions. The eye contains inside it a cavity filled with a gel-like fluid called the vitreous body, which is in intimate contact with the retina, responsible for projecting images. In certain retinal pathologies such as age-related macular degeneration or diabetic macular oedema, the administration of therapy via intravitreal injections provides an effective therapeutic concentration at the site of the lesion without systemic side effects.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6a8f014 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6a8f014\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-980b02c\" data-id=\"980b02c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-682d633 elementor-widget elementor-widget-spacer\" data-id=\"682d633\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-81b4bcb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"81b4bcb\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f8662c7\" data-id=\"f8662c7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-63a67c3 elementor-widget elementor-widget-heading\" data-id=\"63a67c3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">2. When do we need intravitreal injections?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a671f14 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a671f14\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6d54d32\" data-id=\"6d54d32\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7a0f3f6 elementor-widget elementor-widget-text-editor\" data-id=\"7a0f3f6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li><strong><a href=\"https:\/\/profmunteanu.ro\/en\/degenerescenta-maculara\/\">Degenerescen\u021ba macular\u0103<\/a> legat\u0103 de v\u00e2rst\u0103\u00a0(DMLV)<\/strong>If you have been diagnosed with this condition, especially its ''wet'' form, you are prone to a disorganisation of the retinal macular region responsible for central vision. This occurs with the formation of choroidal neoplasms, accumulation of intraretinal fluid and macular oedema. The gold-standard therapy in this case is intravitreal angiogenic agents (anti-VEGF) given at regular intervals.<\/li><\/ul><ul><li><strong>Diabetic maculopathy<\/strong>\u00a0: most often associated with type II diabetes mellitus, it is a diabetic eye disease affecting the centre of vision. Normal blood vessels dilate in response to the ischemic response of the retina, becoming permeable. Remaining fluid accumulates in the macula, distorting central vision.<\/li><\/ul><ul><li><strong><a href=\"https:\/\/profmunteanu.ro\/en\/retinopatia-diabetica\/\">Retinopatia diabetic\u0103<\/a> proliferativ\u0103<\/strong>\u00a0: an aggravated form of diabetic retinopathy, proliferative retinopathy involves the destruction of small retinal blood vessels, resulting in tissue ichemization and a strong angiogenic response leading to the formation of new ''bad'' vessels. Very thin and permeable, these bleed and exude, disrupting the retina and potentially leading to irreversible vision loss. They are inhibited by repeated injections of a specific anti-VEGF, to which a good therapeutic response is observed.<\/li><\/ul><ul><li><strong>Central retinal vein occlusion (CRVO) or branch vein occlusion<\/strong>\u00a0ischemic events: these ischemic events occur in the presence of atherosclerosis and the formation of a blood clot obstructing the flow of blood returning from the retina. Without proper treatment early on, they can lead to other serious complications such as macular oedema or neovascular glaucoma. You may be advised to have a combination injection containing an anti-VEGF and a glucocorticoid anti-inflammatory to treat this condition.<\/li><\/ul><ul><li><strong>Choroidal neovascularization in myopia<\/strong>\u00a0: this condition occurs in people with strong myopia, in which case the retina is stretched and thinned due to the large size of the eye and is prone to disorganization and invasion of choroidal neoplasms that must be inhibited with anti-VEGF factors.<\/li><\/ul><ul><li><strong>Uveitis<\/strong>\u00a0Inflammation of the uveal layers of the eye can lead to serious damage to vision if early action is not taken. In the case of infectious uveitis, intravitreal injections with specific antibiotic, antiviral or antifungal agents are recommended, depending on the cause found. When infectious aetiology is excluded, intravitreal injections with a steroidal anti-inflammatory agent such as <em>triamcinolone<\/em>, as a single dose or as an extended-release implant.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-92c440a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"92c440a\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1488d41\" data-id=\"1488d41\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fc5fb6d elementor-widget elementor-widget-spacer\" data-id=\"fc5fb6d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-481b795 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"481b795\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7fc133a\" data-id=\"7fc133a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9f37e9f elementor-widget elementor-widget-image\" data-id=\"9f37e9f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"397\" src=\"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2022\/10\/injectiile-intravitraeene-oftalmologie-1024x397.png\" class=\"attachment-large size-large wp-image-6440\" alt=\"\" srcset=\"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2022\/10\/injectiile-intravitraeene-oftalmologie-1024x397.png 1024w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2022\/10\/injectiile-intravitraeene-oftalmologie-300x116.png 300w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2022\/10\/injectiile-intravitraeene-oftalmologie-768x297.png 768w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2022\/10\/injectiile-intravitraeene-oftalmologie-18x7.png 18w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2022\/10\/injectiile-intravitraeene-oftalmologie.png 1402w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-17774fd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"17774fd\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-df9356c\" data-id=\"df9356c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-944b12b elementor-widget elementor-widget-spacer\" data-id=\"944b12b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-440b05b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"440b05b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-27542ad\" data-id=\"27542ad\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-854269c elementor-widget elementor-widget-heading\" data-id=\"854269c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">3. How often do I need to have injections? <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9f94760 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9f94760\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-88819ee\" data-id=\"88819ee\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b9a0335 elementor-widget elementor-widget-text-editor\" data-id=\"b9a0335\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>For anti-vascular endothelial growth factor (anti-VEGF) injections, there are two major international protocols by which treatment intervals are planned: Treat And Extent (T&amp;E) and Pro Re Nata (PRN). In a T&amp;E regimen, after an initial loading phase of three doses of anti-VEGF given one month apart, patients are injected at monthly intervals until the exudative disease activity has resolved. At that point, the interval for the next injection is extended by 1 to 2 weeks to a maximum of 12 weeks. In a PRN regimen treatment is initiated with three monthly injections. Retreatment is applied only when intra- or subretinal changes such as fluid or haemorrhage are detected after SD-OCT evaluation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8d268c0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8d268c0\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5e45b9d\" data-id=\"5e45b9d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bd7c5ad elementor-widget elementor-widget-spacer\" data-id=\"bd7c5ad\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-83de161 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"83de161\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1038af9\" data-id=\"1038af9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0f55773 elementor-widget elementor-widget-heading\" data-id=\"0f55773\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">4. What do intravitreal injections contain?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5632b03 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5632b03\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9c09753\" data-id=\"9c09753\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ddf9467 elementor-widget elementor-widget-text-editor\" data-id=\"ddf9467\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>Bevacizumab (AVASTIN, Genentech, San Francisco, CA)<\/li><li>Ranibizumab (LUCENTIS, Genentech, San Francisco, CA)<\/li><li>Aflibercept (EYLEA, Regenereon Pharmaceuticals Inc, Tarrytown, NY)<\/li><li>Brolucizumab (BEOVU, Novartis, Cambridge, MA)<\/li><\/ul><p>These are anti-VEGF (anti-vascular endothelial growth factor) drugs that stop abnormal blood vessels, called <em>neovase <\/em>to grow, ooze and bleed.<\/p><ul><li>Triamcinolone acetonide (VITREAL S, Fidia Farmaceutici, Italy)<\/li><li>Dexamethasone (OZURDEX, Allergan TechAlliance)<\/li><\/ul><p>These are drugs in the glucocorticoid category, with a strong anti-inflammatory effect.<\/p><ul><li>Vancomycin<\/li><li>Clindamycin<\/li><li>Amikacin<\/li><\/ul><p>These are some of the antibiotic drugs that can be used intraocularly.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-92143eb elementor-widget elementor-widget-spacer\" data-id=\"92143eb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-df5b57b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"df5b57b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ec463f0\" data-id=\"ec463f0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-19e38c5 elementor-widget elementor-widget-heading\" data-id=\"19e38c5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">5. What is the procedure?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ded5102 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ded5102\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-30fe786\" data-id=\"30fe786\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-db04b06 elementor-widget elementor-widget-text-editor\" data-id=\"db04b06\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Even though it is a standardised and relatively simple procedure that takes between 5 and 10 minutes, intravitreal injection must always be performed under special aseptic and antiseptic conditions. Thus, it takes place in the operating theatre, with trained and experienced staff, under microscopic control, with rigorous preparation of the periocular area beforehand.<\/p><p>After a topical, drop anesthesia, the patient is placed on their back, the ocular attachments and periocular area are disinfected, a sterile drape is placed over the face, and the eye is isolated and opened using an eyelid support. A betadine solution is instilled into the conjunctival bags on the ocular surface for asepsis. The patient is asked to look up and sideways, the injection site is marked according to the presence or absence of a lens implant and a very fine needle is entered perpendicular to the ocular surface and a maximum of 0.1 ml of active substance is injected. After removing the needle, the injection site is gently swabbed and the betadine solution is instilled back onto the ocular surface. The sterile field is taken off and an opaque or transparent eye dressing is applied until the end of the day.<\/p><p>It is important to note that this procedure may be contraindicated if your intraocular pressure is too high, in which case we will prescribe a treatment schedule to lower it and postpone the intravitreal injection for another time.<\/p><p>After receiving an intravitreal injection there is no need to administer any topical antibiotics unless your ophthalmologist specifically asks you to do so.<\/p><p>\u00a0<\/p><p>At the Prof. Dr. Munteanu Ophthalmology Centre we perform over 150 intravitreal injections per month to patients who cross our threshold with confidence. For a thorough consultation and expert treatment, we look forward to seeing you!<\/p><p>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-870129f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"870129f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4e2f646\" data-id=\"4e2f646\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0b67bb1 elementor-widget elementor-widget-text-editor\" data-id=\"0b67bb1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><em>Descoperi\u021bi mai multe informa\u021bii valoroase despre oftalmologie \u0219i s\u0103n\u0103tatea ochilor vizion\u00e2nd materialele realizate de exper\u021bi \u00een domeniu de pe canalul nostru de <a href=\"https:\/\/www.youtube.com\/@profmunteanu\"><span style=\"text-decoration: underline;\">YouTube<\/span><\/a>.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8b24de7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8b24de7\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ab41ca8\" data-id=\"ab41ca8\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b7c6be2 elementor-widget elementor-widget-spacer\" data-id=\"b7c6be2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1befd74 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1befd74\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2846a62\" data-id=\"2846a62\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8fc7317 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"8fc7317\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5f9a569 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5f9a569\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f4487e9\" data-id=\"f4487e9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a4f8290 elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"a4f8290\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><img decoding=\"async\" width=\"1000\" height=\"1000\" src=\"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2022\/09\/Munteanu_postare-patrata8.png\" class=\"attachment-full size-full wp-image-3021\" alt=\"Oftalmologie Timisoara - Doctor oftalmolog Timisoara - Dr. Leila Al Barri, Medic specialist oftalmolog\" srcset=\"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2022\/09\/Munteanu_postare-patrata8.png 1000w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2022\/09\/Munteanu_postare-patrata8-300x300.png 300w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2022\/09\/Munteanu_postare-patrata8-150x150.png 150w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2022\/09\/Munteanu_postare-patrata8-768x768.png 768w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/figure><div class=\"elementor-image-box-content\"><h3 class=\"elementor-image-box-title\">Dr Leila Al Barri<\/h3><p class=\"elementor-image-box-description\">Specialist Ophthalmologist, with specialization carried out under the coordination of\nProf. Dr. Mihnea Munteanu, assistant professor at UMF Victor Babes Timisoara.<\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-13dbc2c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"13dbc2c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ffce8a9\" data-id=\"ffce8a9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b4ec036 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"b4ec036\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-lg\" href=\"https:\/\/profmunteanu.ro\/en\/programare-online\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">I want Programming<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Injec\u021biile intravitreene \u2013 c\u00e2nd sunt necesare \u0219i de ce s\u0103 nu ne temem de ele? Injectiile intravitreene reprezint\u0103 proceduri medicale inovatoare, utilizate \u00een tratamentul afec\u021biunilor oftalmologice. Acestea constau \u00een administrarea unei substan\u021be medicamentoase direct \u00een cavitatea vitrean\u0103 a ochiului, cu ajutorul unei seringi sub\u021biri \u0219i precise. Injectiile intravitreene sunt utilizate \u00een diverse indica\u021bii, precum degenerescenta [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":3950,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"footnotes":""},"categories":[5],"tags":[],"class_list":["post-3224","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articole"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Injec\u021biile intravitreene: ce sunt si cand se utilizeaza? - Clinica Oftalmologica Dr. Munteanu<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/profmunteanu.ro\/en\/injectiile-intravitreene\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Injec\u021biile intravitreene: ce sunt si cand se utilizeaza? - Clinica Oftalmologica Dr. Munteanu\" \/>\n<meta property=\"og:description\" content=\"Injec\u021biile intravitreene \u2013 c\u00e2nd sunt necesare \u0219i de ce s\u0103 nu ne temem de ele? Injectiile intravitreene reprezint\u0103 proceduri medicale inovatoare, utilizate \u00een tratamentul afec\u021biunilor oftalmologice. Acestea constau \u00een administrarea unei substan\u021be medicamentoase direct \u00een cavitatea vitrean\u0103 a ochiului, cu ajutorul unei seringi sub\u021biri \u0219i precise. 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