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Table 1 Summary of the global routine intravitreal injection therapy (IVT) practices during the pre-COVID-19 pandemic time

From: Are intravitreal injections essential during the COVID-19 pandemic? Global preferred practice patterns and practical recommendations

Country (city/region)

Type of institution

Prior to intravitreal injections being administered

Intravitreal Injection procedure

Imaging with OCT done at every visit

Ophthalmology consult performed at every visit

Setting where the majority of IVTs are performed

Skilled manpower used to administer IVT

Routine equipment used to administer IVT

(Surgical mask, drape, gown, sterile gloves, speculum, iodine)

Bilateral injections allowed on the same day

Asia and Pacific Region

China (Guangzhou)

Tertiary stand-alone ophthalmology centre

Yes

Yes

Operating theatre

Senior/Junior Ophthalmologists

All

No

Israel (Tel Aviv)

Ophthalmology department within General Hospital

Noa

Noa

Separate treatment room

Senior/Junior Ophthalmologists

All except gowns

Yes

Malaysia (Kuala Lumpur)

Ophthalmology department within General Hospital

Yes

Yes

Separate treatment room

Junior ophthalmologists

All

Yes

Singapore

Tertiary stand-alone ophthalmology centre

Noa

Noa

Separate treatment room

Senior/Junior Ophthalmologist, Specialised nurses

All except gowns

Yes

Thailand (Bangkok)

Ophthalmology department within General Hospital

Noa

Noa

Separate treatment room or stand-alone IVT clinics

Senior/Junior Ophthalmologists/Residents

All except gowns

Yes

Europe

France (Paris)

Ophthalmology department within General Hospital

Yes

Yes

Separate treatment room

Junior ophthalmologist

All

Yes

Germany (Berlin)

Tertiary stand-alone ophthalmology centre

Noa

Noa

Operating theatre

Senior ophthalmologist

All except gowns

No

Germany (Munich)

Tertiary stand-alone ophthalmology centre

Yes

Yes

Separate treatment room/ Operating theatre

Junior/Senior ophthalmologist

All except gowns

Yes

Greece (Athens)

Ophthalmology department part of General Hospital

Yes

Yes

Separate treatment room

Senior/Junior Ophthalmologists

All except gowns

Yes

Italy (Rome)

Ophthalmology department part of General Hospital

No (only after 3 loading doses)

No (only after 3 loading doses)

Separate treatment room / Operating theatre

Senior ophthalmologist

All except gown (drape recommended)

No

Italy(Milan)

Ophthalmology department part of General Hospital

Noa

Noa

Separate treatment room/Operating theatre

Senior/Junior Ophthalmologists

All

No

Switzerland (Lucerne)

Ophthalmology department part of General Hospital

No

No (only at fixed time points)

Operating theatre

Junior Ophthalmologist, Specialised nurses

All

Yes

United Kingdom(London)

Tertiary stand-alone ophthalmology centre

Yes

Yes

Separate treatment room

Senior/Junior Ophthalmologist, Specialised nurses

All

Yes

United Kingdom (Wales)

Ophthalmology department part of General Hospital

Yes

Yes (most done virtually)

Within the outpatient clinic

Senior/Junior Ophthalmologist, Specialised nurses

All (drape and masks only recommended)

Yes

North and South America

Brazil (Recife)

Tertiary stand-alone ophthalmology centre

Yes

Yes

Operating theatre

Senior/Junior Ophthalmologist

All

Yes

Canada (Vancouver)

Tertiary stand-alone ophthalmology centre

Yes

Yes

Within the outpatient clinic

Senior Ophthalmologist

Iodine only (some substitute chlorhexidine for iodine), speculum optional

No

Colombia (Cali)

Tertiary stand-alone ophthalmology centre

Yes

Yes

Within the outpatient clinic

Senior/Junior Ophthalmologist

All

Yes

United States of America (Chicago)

Ophthalmology department part of General Hospital

Yes

Yes

Within the outpatient clinic

Senior ophthalmologist

All except gown

Yes (rarely)

  1. aIVT also administered in injection only clinics/appointments with no imaging or ophthalmologist consult