Purpose: This study aims to describe an innovative suprachoroidal space injection technique using a combination of 30 G and 22 G needles attached to a 1 ml injector. The efficacy and applicability of this technique in suprachoroidal injections are evaluated.
Methods: In this study, we conducted both and injection experiments using isolated porcine eyes and live SD rats, respectively. The injector needle was inserted into the sclera with the bevelled tip facing the sclera and parallel to the corneal limbus, and the methylene blue solution was injected into the suprachoroidal space. The accuracy of the injection was confirmed by OCT imaging and frozen section microscopy, demonstrating that the dye was successfully delivered to the suprachoroidal space.
Results: The suprachoroidal injector successfully injected the solution into the suprachoroidal space of isolated porcine eyes and live rats without entering the vitreous cavity.
Conclusion: The 22 G needle demonstrated sufficient rigidity and stability to ensure proper scleral compression, supporting the consistency of the injection depth. The 30 G needle exhibited exceptional sharpness and precision, allowing for more accurate control of the drug dosage. The appropriate force applied to the sclera facilitated the precise depth of injection. The angle of the needle, parallel to the corneal limbus, helped avoid penetration into the vitreous or subretinal space, reducing the risk of complications. This device offers new tools and methods for ophthalmic research and clinical practice, with significant clinical application prospects.
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http://dx.doi.org/10.1080/02713683.2025.2469829 | DOI Listing |
Curr Eye Res
March 2025
Department of Ophthalmology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Purpose: This study aims to describe an innovative suprachoroidal space injection technique using a combination of 30 G and 22 G needles attached to a 1 ml injector. The efficacy and applicability of this technique in suprachoroidal injections are evaluated.
Methods: In this study, we conducted both and injection experiments using isolated porcine eyes and live SD rats, respectively.
Surv Ophthalmol
February 2025
Ophthalmology Department, "Fondazione Policlinico Universitario A. Gemelli, IRCCS", Rome 00168, Italy; Ophthalmology Department, Catholic University "Sacro Cuore", Rome 00168, Italy; Consiglio Nazionale delle Ricerche, Istituto di Neuroscienze, Pisa, Italy.
The introduction of viscoelastics in human ocular surgery dates back to 1972.Subsequntly, several substances were proposed as adjuvants, particularly for cataract surgery; however, the rheologic properties of ophthalmic viscosurgical devices (OVDs), such as viscosity, pseudoplasticity, and coatability led to their employment also in vitreoretinal surgery. OVDs can be used to separate tissues and create space, to break adhesions, to allow space for surgical manipulation, and to contain hemorrhage by dampening capillary oozing.
View Article and Find Full Text PDFBMJ Case Rep
February 2025
Ophthalmology, Frimley Health NHS Foundation Trust, Frimley, UK.
A man in his mid-70s presented to the eye clinic with sudden onset ptosis, bilateral ophthalmoplegia associated with eye pain and sluggish pupillary reaction. MRI of the head revealed cavernous sinus thrombosis. He was treated with warfarin and a regime of steroids which improved his ophthalmoplegia.
View Article and Find Full Text PDFCureus
January 2025
Ophthalmology, LRBT (Layton Rahmatulla Benevolent Trust) Free Eye Hospital, Lahore, PAK.
Introduction Macular edema causes decreased vision in diseases like diabetic retinopathy, uveitis, retinal vein occlusions and post-cataract surgery cystoid macular edema. Steroids in the depot form of triamcinolone acetonide (TA) increase the duration of action, but due to a number of complications, especially raising intraocular pressure (IOP), anti-vascular endothelial growth factor (anti-VEGF) injections are now considered the mainstay of treatment. The suprachoroidal space provides an alternate route for steroid delivery, limiting the drug to the posterior segment, hence preventing the adverse effects on the anterior segment.
View Article and Find Full Text PDFPurpose: To investigate the characteristics and publication status of minimally invasive glaucoma surgery (MIGS) clinical trials registered on ClinicalTrials.gov.
Design: A cross-sectional study.
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