Can a nurse administer anti-VEGF injections?
According to a new study they can—and they do it just as well as a physician.
Tell me about the study.
Given the increased burden of performing intraocular injections in ophthalmology departments, the research team in Norway asked whether this procedure can be delegated to nurses. The study included 259 patients who received anti-VEGF injections by either a nurse or a physician. They measured improvements in vision and adverse events.
What did they find?
"Nurse-administered injections were noninferior to those administered by physicians in terms of improvement in visual acuity." Also, of the 2,077 injections performed, a total of three adverse events were reported. The risk of endophthalmitis was 0.5%, which is similar to other studies in which all injections were administered by a physician.
Did the nurses have to complete extra training for this?
They did. According to the study, "a training program for nurses was developed and implemented at the Department of Ophthalmology during the year prior to the start of the study." These nurses were also observed by a retina specialist before they were able to administer any injections.
Want to cut that night-time sugar craving?
Turn off your devices.
Researchers found that an hour a day of "nocturnal artificial blue light induces an increase of sucrose intake and decrease in plasma insulin concentration in rats." (via)
WHAT YOUR PATIENT MIGHT ASK YOU
If I have wet AMD in one eye, how likely am I to develop it in my other eye?
According to a new study, the risk of conversion is 24%.
Tell me about the study.
This was a secondary analysis of the VIEW 1 and VIEW 2 clinical trials. The study examined how likely a patient was to develop wet AMD in the fellow eye after being treated with intravitreal anti-VEGF therapy in one eye.
Did other factors increase the likelihood of conversion?
Yes. Increasing age and female sex were two factors associated with a higher risk for fellow eye conversion.
The authors found a high risk of conversion and suggest monitoring these patients closely especially at home with an Amsler grid.
SOCIAL MEDIA ROUNDUP
Can a person get Latisse without an in-person visit to the eye doctor?
Yes, they can. A website called Rory can hook a patient up.
Is it a coincidence that Hubble rhymes with trouble?
The New York Times published a wonderfully scathing review of them.
Get your social media ready.
August is Children’s Eye Health and Safety Month.
Thanks for reading!