BOOK
Fundamentals Of Intravitreal Injections: A Guide For Ophthalmic Nurse Practitioners And Allied Health Professionals
Waqar Salman | Park Jonathan C
(2018)
Additional Information
Book Details
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| CONTENTS | v | ||
| About the Authors | vii | ||
| Foreword | ix | ||
| Acknowledgements | xi | ||
| 1 Introduction | 1 | ||
| 2 Basics | 3 | ||
| THE THREE LAYERS OF THE EYE | 3 | ||
| The Retina in Cross Section | 6 | ||
| THE VITREOUS | 9 | ||
| THE LENS | 10 | ||
| 3 Investigations | 11 | ||
| OPTICAL COHERENCE TOMOGRAPHY (OCT) | 11 | ||
| FUNDUS FLUORESCEIN ANGIOGRAPHY (FFA) | 18 | ||
| OPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY (OCTA) | 29 | ||
| ULTRA-WIDEFIELD IMAGING (UWF) | 33 | ||
| 4 Intravitreal Medications and Common Treatment Pathways | 35 | ||
| WHAT ARE THE DIFFERENT ANTI-VEGF PATIENT PATHWAYS? | 36 | ||
| 1. Fixed Dosing | 37 | ||
| 2. PRN | 37 | ||
| 3. Treat and Extend | 38 | ||
| 4. Individualised Patient Treatment | 39 | ||
| 5 The Technique | 41 | ||
| ONE-STOP AND TWO-STOP CLINICS | 41 | ||
| NEAR-MISS SCENARIOS | 42 | ||
| CRITICAL INCIDENT | 44 | ||
| IMPORTANT POINTS TO REMEMBER | 51 | ||
| 6 Complications | 53 | ||
| WRONG PATIENT OR WRONG EYE INJECTED | 53 | ||
| IODINE USED IN A PATIENT WITH IODINE ALLERGY | 53 | ||
| PATIENT COLLAPSE | 54 | ||
| SUBCONJUNCTIVAL HAEMORRHAGE | 54 | ||
| PROBLEMS ASSOCIATED WITH A DILATED PUPIL | 54 | ||
| CORNEAL ABRASION | 56 | ||
| TOXIC EPITHELIOPATHY OF THE CORNEA | 57 | ||
| CATARACT | 57 | ||
| POSTERIOR VITREOUS DETACHMENT AND RETINAL TEAR/DETACHMENT | 58 | ||
| RAISED INTRAOCULAR PRESSURE (IOP) / CENTRAL RETINAL ARTERY OCCLUSION / ISCHAEMIC OPTIC NEUROPATHY | 59 | ||
| AIR BUBBLES | 60 | ||
| VITREOUS WICKS | 61 | ||
| ENDOPHTHALMITIS | 61 | ||
| IMPORTANT STUDY | 63 | ||
| 7 Injection Devices | 65 | ||
| MALOSA INTRAVITREAL INJECTION GUIDE (MALOSA MEDICAL /BEAVER-VISITEC INTERNATIONAL) | 65 | ||
| CLINICAL EXPERIENCE | 68 | ||
| INVITREA (FCI OPHTHALMICS), SP.EYE (SD HEALTHCARE) AND RAVI GUIDE (KATALYST SURGICAL) | 68 | ||
| 8 Prototype Training Structure | 71 | ||
| 1. REQUIREMENTS FOR STAFF PERFORMING INTRAVITREAL INJECTIONS | 71 | ||
| 2. REASSESSMENT | 72 | ||
| 3. CLINICAL GOVERNANCE | 72 | ||
| 4. TRAINING PROGRAMME | 73 | ||
| 5. ACCREDITATION | 73 | ||
| 6. GUIDELINES FOR ASSESSORS | 74 | ||
| 9 Setting Up a Wetlab | 77 | ||
| 10 Organising a Dedicated Clean Room | 79 | ||
| Further Reading | 81 | ||
| Appendix A: Intravitreal Injection Checklist | 83 | ||
| PRE-INJECTION ASSESSMENT | 83 | ||
| RECORD OF PROCEDURE | 84 | ||
| NOTES TO ASSIST PRE-INJECTION ASSESSMENT | 84 | ||
| Appendix B: Basic Life Support Algorithm (Resuscitation Council, UK, 2015) | 87 | ||
| Appendix C: Anaphylaxis Algorithm | 88 | ||
| Index | 89 |