Following are some important points regarding injecting the dexamethasone intravitreal implant:

  • Do not inject the dexamethasone intravitreal implant in a patient who cannot lie back (ie, patients with breathing problems).
  • Use subconjunctival anesthetic and wait for it to take effect. See two or three patients in between to ensure the patient is numb when you return to do the injection.
  • Explain to the patient that he or she will feel pressure.
  • Tell the patient that he or she will hear a click when the implant releases from the injector so there is no surprise, making the patient flinch.
  • If you encounter resistance from a tough sclera, increase your angle.
  • Do not make your first implant injection in a patient who has undergone vitrectomy.