When not to inject – the Pacific Perspective.pptx

When not to inject an intravitreal injection.

1. When not to inject – the Pacific Perspective Harris Muzammil Ansari PEI / FHFNZ / CWM Hospital

2. Anti-VEGF in the PIC’s Tonga Fiji

3. When not to inject?

4. When not to inject? Ocular Systemic Personal

5. Ocular Factors

6. Ocular Any ocular or peri -ocular infection

7. Ocular Intraocular inflammation

8. Ocular Ischemic Diabetic Macular Edema

9. Ocular Tractional RD / Tractional bands

10. Ocular RRD / Retinal tear with hemorrhage

11. Ocular Dense Vitreous Hemorrhage

12. Ocular High IOP CRAO Large bore (27G) needle

13. Ocular Caution with Eales Disease or Peripheral Retinal Vasculitis

14. Ocular Extreme caution with ROP

15. Systemic Factors

16. Systemic Recent stroke (within the last 3 months)

17. Systemic Recent MI (within the last 3 months)

18. Systemic Pregnancy or Lactation (or planning pregnancy)

19. Systemic Severe systemic infection

20. Systemic Uncontrolled Hypertension

21. Systemic Allergy to anti-VEGF

22. Systemic GI Bleed or Varices

23. Systemic With c aution in elderly

24. Personal Factors

25. Personal Affordability – FJD 185 per injection

26. Personal Commitment

27. Conclusion

28. Title and content layout with chart