University of Health Sciences Turkey, Derince Training and Research Hospital, Clinic of Ophtalmology, Kocaeli, Turkey.
Kocaeli University Faculty of Medicine, Department of Ophtalmology, Kocaeli, Turkey.
Turk J Ophthalmol. 2021 Dec 28;51(6):373-380. doi: 10.4274/tjo.galenos.2021.18794.
To describe the intravitreal injection (IVI) techniques, practices, and treatment protocols of ophthalmologists in Turkey from May 20, 2020 to June 4, 2020.
All members of the Turkish Ophthalmological Association were contacted by e-mail to complete an anonymous, 47-question internet-based survey.
Thirteen percent of the participants prescribed prophylactic antibiotics pre-injection, 63.8% (406/636) used antibiotic drops immediately after injection, and 91.8% prescribed topical antibiotics. The majority of IVI procedures were performed in an operating room (65.3%) or clean room (33.6%). Most surgeons used sterile gloves, masks, sterile drape, sterile fenestrated cover, and sterile eyelid speculum. Multispecialists (M) preferred to wear sterile gloves more than retina specialists (RS) (99.0% vs. 95.3%; p=0.004). Also, M prescribed antibiotics more than RS (93.7% vs. 88.8%; p=0.029). RS dilated the pupil more frequently than M (48.3% vs. 39.0%) (p=0.020). RS were more familiar to use different quadrants (right p=0.012; left p=0.001). Most surgeons (82.8%) did not perform injections in both eyes on the same day.
Ophthalmologists in Turkey employ a wide range of techniques in care before, during, and after IVI. In addition, IVI techniques and treatment protocols differed between RS and M. Further research is needed to elucidate best practice patterns.
描述 2020 年 5 月 20 日至 6 月 4 日期间土耳其眼科医生的玻璃体腔内注射（IVI）技术、实践和治疗方案。
通过电子邮件联系土耳其眼科协会的所有成员，完成一项匿名的、包含 47 个问题的网络调查。
13%的参与者在注射前预防性使用抗生素，63.8%（406/636）在注射后立即使用抗生素滴眼剂，91.8%开具了局部抗生素。大多数 IVI 程序在手术室（65.3%）或洁净室（33.6%）进行。大多数外科医生使用无菌手套、口罩、无菌覆盖物、无菌窗覆盖物和无菌眼睑镜。多学科医生（M）比视网膜专家（RS）更倾向于戴无菌手套（99.0%比 95.3%；p=0.004）。此外，M 比 RS 更常开具抗生素（93.7%比 88.8%；p=0.029）。RS 比 M 更频繁地散瞳（48.3%比 39.0%）（p=0.020）。RS 更熟悉使用不同象限（右侧 p=0.012；左侧 p=0.001）。大多数外科医生（82.8%）不在同一天对双眼进行注射。
土耳其的眼科医生在 IVI 前后采用了广泛的技术。此外，RS 和 M 之间的 IVI 技术和治疗方案存在差异。需要进一步的研究来阐明最佳实践模式。
