| ARCHETYPE ID | openEHR-EHR-CLUSTER.intravitreal_injection_details.v0 |
|---|---|
| Concept | Intravitreal injection details |
| Description | Details about intravitreal injection procedure. |
| Use | Either to provide details about the procedure whenever a intravitreal injection is scheduled, or to register the consequent realization of that procedure. |
| Purpose | Provide details about intravitreal injection. |
| References | - Avery RL, Bakri SJ, Blumenkranz MS, Brucker AJ, Cunningham ETJ, D'Amico DJ, et al. Intravitreal injection technique and monitoring: Updated guidelines of an expert panel. Retina (Philadelphia, Pa) 2014; 34:S1-S18. - Dossarps D, Bron AM, Koehrer P, Aho-Glélé LS, Creuzot-Garcher C, net F, et al. Endophthalmitis After Intravitreal Injections: Incidence, Presentation, Management, and Visual Outcome. American journal of ophthalmology 2015; 160(1):17-250. - Fagan XJ, Al-Qureshi S. Intravitreal injections: a review of the evidence for best practice. Clinical & experimental ophthalmology 2013; 41(5):500-7. - Nentwich MM, Yactayo-Miranda Y, Schwarzbach F, Wolf A, Kampik A, Mino de Kaspar H. Endophthalmitis after intravitreal injection: decreasing incidence and clinical outcome-8-year results from a tertiary ophthalmic referral center. Retina (Philadelphia, Pa) 2014; 34(5):943-50. - Website of the OpenEyes project: http://www.openeyes.org.uk/ |
| Copyright | © openEHR Foundation |
| Authors | Author name: Aitor Eguzkitza Organisation: Universidad Pública de Navarra & Complejo Hospitalario de Navarra Email: aitor.eguzkiza@unavarra.es Date originally authored: 2015-06-16 |
| Other Details Language | Author name: Aitor Eguzkitza Organisation: Universidad Pública de Navarra & Complejo Hospitalario de Navarra Email: aitor.eguzkiza@unavarra.es Date originally authored: 2015-06-16 |
| Other Details (Language Independent) |
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| Keywords | intraocular injection, intravitreal injection |
| Lifecycle | in_development |
| UID | b6d9d7b6-bc4f-4352-b8fe-998a6841917a |
| Language used | en |
| Citeable Identifier | 1013.1.2016 |
| Revision Number | 0.0.1-alpha |
| items | |
| Laterality | Laterality: Eyes treated in the same sitting.
|
| Clinical Setting | Clinical Setting: Allocation where the intravitreal injection takes place.
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| Contraindications | Contraindications: Identifies possible contraindications (if any) to be considered before conducting ITV injections.
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| Anaesthetic | Anaesthetic: Details concerning the anaesthetic prior to the procedure. |
| Anaesthetic Type | Anaesthetic Type: Type of anesthesia chosen.
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| Anaesthetic Route | Anaesthetic Route: Route chosen to apply the anesthesia.
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| Anaesthetic Agent | Anaesthetic Agent: Anesthetic agent. Constraint: Compounds for local anaesthesia [Attach a list that restricts the anesthetic agents, to those compounds used in ophthalmology to anaesthetize patients prior to intravitreal injection.] |
| Preparation | Preparation: Details about preparation of the intervention. |
| Sterile Drape | Sterile Drape: Use or not of a sterile drape before injection. |
| Speculum | Speculum: Use of speculum or on the contrary manual eye lid retraction, to prevent contact of the eyelashes and eyelid margins with both the injection site and the injection needle. |
| Sterile Gloves | Sterile Gloves: Use of sterile or nonsterile gloves during the intervention. |
| Surgical Masks | Surgical Masks: Use of surgical masks by clinicians and patients, or on the contrary, do not use mask but minimize speaking to reduce infection risk during procedure. |
| Monitor IOP | Monitor IOP: * |
| Anti-infective on Eyelids | Anti-infective on Eyelids: Application or not of anti-infective agent to the eyelids, including the eyelid margins and eyelashes. |
| Dilation Required | Dilation Required: Need or not of pupillary dilation prior to the surgical intervention. |
| Pre Injection Skin Cleanser | Pre Injection Skin Cleanser: Anti-infective agent used for skin cleanse. Constraint: Anti-infective agents in ophthalmology [List of anti-infective agents available for opthalmic use.] |
| Pre Injection Conjunctival Cleanser | Pre Injection Conjunctival Cleanser: Anti-infective agent used as antiseptic. Constraint: Anti-infective agents in ophthalmology [List of anti-infective agents available for opthalmic use.] |
| Pre Injection IOP Lowering Therapy Required | Pre Injection IOP Lowering Therapy Required: Select if pre Injection IOP lowering therapy is required. Assumed value: false |
| Pre Injection IOP Lowering Therapy | Pre Injection IOP Lowering Therapy: Therapy chosen to lower patient's IOP prior to injections.
|
| Intravitreal Injections | Intravitreal Injections: Details about application of injections. |
| Compound Injected | Compound Injected: Compound contained within the intravitreal injection. Constraint: List of compounds validated for intraocular injection [Compounds administered in ophthalmology in the form of intraocular injection.] |
| Injection Site | Injection Site: Distance in mm of the needle posterior to the limbus between the vertical and horizontal rectus muscles. Property: Length Units: 2.5..4.5 mm Limit decimal places: 1 |
| Number of injections | Number of injections: Number of injections involved in the current intervention. min: >=1 <br/>Assumed value1 |
| Batch Number | Batch Number: Batch number of the injections used. |
| Batch Expiry Date | Batch Expiry Date: Expiry date for the batch of injections used. Full Date |
| Post Injection | Post Injection: Details about procedures after intravitreal injections to guarantee patient's safety. |
| Post Injection IOP Lowering Therapy Required | Post Injection IOP Lowering Therapy Required: Select if IOP lowering is required after injection. Assumed value: false |
| Post Injection IOP Lowering Therapy | Post Injection IOP Lowering Therapy: Therapy chosen to lower patient's IOP after injections.
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| Post Injection examination | Post Injection examination: Routine examination to check the patient's status after the therapy. |
| Counting Fingers | Counting Fingers: Evaluation about if the patient is able to count fingers or not. |
| IOP Checked | IOP Checked: Intraocular pressure measurement is recommended or not. |
| Post Injection Drops | Post Injection Drops: Details about a preventive treatment of antibiotics after intravitreal injections. Include: openEHR-EHR-CLUSTER.medication_ |
| Complications | Complications: Possible complications due to intravitreal injections.
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| Other contributors | Jose Andonegui Navarro, Complejo Hospitalario de Navarra, Spain Luis Serrano Arriezu, Institute of Smart Cities & Universidad Pública de Navarra, Spain Gustavo Bacelar-Silva, Healthcare Designs, Brazil Yves Genevier, Privantis, Switzerland Thomas Pedersen Bærland, DIPS, Norway Heather Leslie, Ocean Informatics, Australia Ian McNicoll, freshEHR Clinical Informatics, United Kingdom |
| Translators |