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  • Intravitreal Injection Technique: a primer - University of Iowa
    This article is intended to be a resource and primer for ophthalmology residents learning intravitreal injection We aim to present a helpful, concise review of recent evidence surrounding IVI technique and describe IVI protocols at the Iowa City Veterans Affairs hospital and the University of Iowa
  • Atlas Entry - Intravitreal Triamcinolone - University of Iowa
    A 57-year-old female presented with chronic diabetic macular edema despite monthly and recent anti-VEGF therapy The patient received 2 mg intravitreal triamcinolone because she was pseudophakic, had healthy optic nerves with normal intraocular pressure, and had no history of glaucoma Her vision in the affected right eye was 20 60, and her intraocular pressure was 14 by tonopen
  • Atlas Entry - Cytomegalovirus (CMV) Retinitis
    The patient was treated with intravitreal foscarnet in the left eye, and five days of intravenous ganciclovir while as an inpatient for other systemic manifestations He was discharged on oral valganciclovir (induction dose 900 mg BID for two weeks) then 900 mg daily maintenance until CD4 count was above 50 At future follow-up in October 2011, the patient had resolution of his CMV retinitis
  • Coats Disease - University of Iowa
    The patient elected to proceed with intravitreal injection of bevacizumab that day in clinic One week later, he underwent focal laser to the retinal telangiectasias inferiorly and to the pseudo-angioma in the left eye
  • EyeRounds. org: Bilateral Acute Retinal Necrosis
    These intravitreal injections can also be repeated in 48-72 hours [10] Early surgical intervention, such as vitrectomy or laser retinopexy, may have promise in preventing secondary retinal detachment but unfortunately, despite the varying treatment strategies, the overall visual prognosis for ARN remains poor [25]
  • Acquired Ocular Toxoplasmosis: - University of Iowa
    Intravitreal triamcinolone and dexamethasone are contraindicated, as intraocular steroids typically cause widespread toxoplasmic retinitis The "classic" antibiotic "triple therapy" is 5-6 weeks of oral pyrimethamine, sulfadiazine, and folinic acid (Giles 1964, Engstrom, 1991)
  • EyeRounds. org: Endophthalmitis: 82 year-old male status post . . .
    The sclerotomy sites were closed followed by intravitreal injections of vancomycin (1mg) and ceftazidime (2mg) Kenalog (10mg) was injected subconjunctivally in the inferior nasal quadrant Post-operatively, the patient was given levofloxacin, 1% prednisolone, and 0 25% scopolamine eye drops
  • Cytomegalovirus (CMV) Retinitis: - University of Iowa
    Intravitreal ganciclovir is given as 1mg in 0 1mL twice weekly in active CMV retinitis and once weekly for maintenance Commercially available intraocular ganciclovir implants do seem to be useful for prolonged medication delivery to the intravitreal space, but these need replacing regularly


















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