Addressing the discomfort of the procedure
Despite the fact that the use of both a surgical drape and speculum are advised to lower the risk of infection during injections, studies have shown that this sterile procedure can have a negative impact on the patient’s perception of the treatment. In one study, 53% of patients indicated that placement of the drape caused feelings of claustrophobia and anxiety, plus the use of a speculum accounted for a high level of stress, second only to the pain during needle insertion.1,2
To address these issues, I decided to see if I could come up with a better solution. This, in collaboration with the innovation panel at Plymouth Hospitals NHS Trust, led to the development of an intravitreal injection guide (IVT; Malosa Medical/Beaver-Visitec International), a device which eliminates the need for a surgical drape and speculum during the IVT injection procedure, largely due to a built-in lash guard.
In addition, the cylindrical chamber of the injection guide is designed for use with a 30-gauge needle to improve patient tolerance and reduce the pain patients feel during needle insertion.