Author: Admin

Some protocols may differ from center to center. Few common points are:

• Generally eye is patched for 2 hours
• To avoid any water into the injected eye for 48-72 hours( avoid head bath)
• Antibiotics may or may not be used( depends on doctor and center)
• To report immediately to treating surgeon in case of sudden pain, redness and visual loss

The procedure of injection is done in a operation theatre and injection given sterile conditions and is NOT painful. Ensure the following before injection.

• Blood sugar< 200mg%
• No redness
• No sticky discharge
• No history of heart attack/ brain stroke within 3 months of injection
• Approval of cardiologist if patient has had any cardiac surgery

This is a myth. Injection Avastin is as safe as any
other injection. Insist on the doctor that the vial of avastin is fresh and the
injection prepared under sterile conditions

Avastin: since the injection gets divided amongst patients, cost id relatively less compared to others.

Accentrix/ Razumab: Since its
single use made for patient , cost is higher.

Since Razumab is made in India its cost is less than Accentrix.

REMEMBER COSTLY INJECTIONS DOES NOT ENSURE BETTER RESULTS.

The basic difference between
all is the basic molecule and how it is given.

Avastin injection although not
having approval for eye use has been used for many years with excellent
results. Since Avastin injection is not made for single use patients needs to
be grouped/ pooled together . Vial of avastin is then opened and then patients
injected

Accentrix/Lucentis is made for single use so can be taken by patient as per his/her convenience.

Both Avastin and Accentrix are imported whereas
Razumab manufactured in India

Currently the names of injection given in India are:

• antiVEGF: Avastin/ Accentrix/Lucentis
• Biosimilar: Razumab
• VEGF trap: Eylea
• Steroids: Intravitreal steroids/ steroid implant( Ozurdex)

Eye injections are a common way to treat various
complications of diabetic retinopathy. There are different types of eye
injections and its given for different types of complications.

Remember eye injections are given ONLY when
complications happen.

Yes, diabetic retinopathy is very much treatable. The results of treatment depends at which stage , its started. Better results are obtained when diagnosis and treatment is started early.

Yes, diabetic retinopathy can be diagnosed by any practicing ophthalmologist . The need for referral to a retinal surgeon is based on the condition of the eye.

• Those with type I should be examined 5 years after onset and then every year
• Those with type II should be examined at the time of diagnosis and then every year
• Women with either type should have retinal exam before conception and then in the first trimester of their pregnancy