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CC BY-NC-ND 4.0 · Journal of Academic Ophthalmology 2019; 11(01): e43-e49
DOI: 10.1055/s-0039-1688912
Research Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Assessment of Intravitreal Injection Training among U.S.-Based Ophthalmology Residents

Jacob J. Liechty
1   Pennsylvania State College of Medicine, Hershey, Pennsylvania
,
Michael J. Wilkinson
2   Department of Ophthalmology, Pennsylvania State College of Medicine, Hershey, Pennsylvania
,
Esther M. Bowie
2   Department of Ophthalmology, Pennsylvania State College of Medicine, Hershey, Pennsylvania
› Author Affiliations Funding None.
Further Information

Publication History

26 August 2018

08 April 2019

Publication Date:
25 May 2019 (online)

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Abstract

Purpose To describe the intravitreal injection training of ophthalmology residents in the United States in 2018.

Design Cross-sectional survey.

Methods An anonymous, 29-question, internet-based survey was emailed to 119 ophthalmology residency program directors with the instructions to forward the survey to their ophthalmology residents.

Results A total of 117 ophthalmology residents (7.89%) responded to the survey. The majority of residents stated that their intravitreal injection training began during their first year of ophthalmology training, PGY 2 year, (92.3%). The majority of residents performed at least 25 injections per year (78.6%). All residents use antiseptic on the conjunctiva prior to the injection, 94% use a lid speculum, and 84.6% avoided talking in the procedure room. Most injections are performed with gloves (83.8%). A minority of residents stated that they are trained to use povidone-iodine on the eyelids prior to performing an injection (45.3%). Only 6.0% of residents claimed to use postinjection antibiotic drops. Performance of bilateral, simultaneous intravitreal injections was split with nearly half of residents not being trained in this method (47.9%).

Conclusion Ophthalmology residents from across the country experience a variety of different injection protocols when being trained on how to perform intravitreal injections. Conjunctival antisepsis has reached a clear consensus while topics such as simultaneous, bilateral injections and eyelid antisepsis are still uncertain among the resident community.

Keywords

resident - training - intravitreal - retina
 

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