Intravitreal injection (anti-VEGF)

Category: Eye Procedures & Tests · All eye procedures & tests

Intravitreal injection (anti-VEGF) — Eye Procedures & Tests

What it is

An intravitreal injection places a small amount of medicine directly into the gel (vitreous) inside the eye. Anti-VEGF medicines block abnormal blood-vessel growth and leakage in the retina; steroid implants are used for some other conditions.

Why it is done

It is the main treatment for wet age-related macular degeneration, diabetic macular oedema, retinal vein occlusion swelling and other retinal conditions where fluid leaks into the seeing part of the retina.

How to prepare

Treatment is usually a course of injections at intervals set by your eye team, guided by scans (OCT). Tell the team about eye infections, allergies and recent strokes or heart attacks. You cannot drive yourself home on the day because of the drops used.

What happens during the procedure

The eye is numbed with drops and cleaned with antiseptic (which can sting briefly). A tiny needle injects the medicine through the white of the eye; most people feel pressure rather than pain, and it takes only a few minutes. Antiseptic and careful sterile technique minimise infection risk.

Afterwards — recovery & results

The eye may feel gritty, look red at the injection site, and show floaters or bubbles for a day or two. You will be told the warning signs of infection — increasing pain, redness and vision loss over the following days — which need urgent same-day assessment. Keep follow-up appointments even when vision seems stable.

Risks & considerations

Risks include infection inside the eye (uncommon but serious), bleeding on the surface or inside, retinal detachment (rare), pressure rise in the eye and cataract progression. The overall safety record of these injections, given in very large numbers, is good.

Watch: Intravitreal injection (anti-VEGF) videos

Real procedure videos from the MedicalVideos.com library. Some clinical footage is graphic — that is the nature of a medical video library.

Frequently asked questions

How many injections will I need?

It varies. Treatment typically starts with monthly injections, then intervals are adjusted to your scans — some people need long-term regular treatment to hold the benefit.

Does it hurt?

The numbing drops work well and most patients describe pressure or a brief scratch. Anxiety beforehand is usually worse than the event.

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Please note: This page is educational information about a medical procedure or test. It does not replace the instructions of your own care team, who know your situation and whose preparation, fasting and medication advice you should follow if it differs from anything here. If you have symptoms that worry you, or an appointment you do not understand, contact your clinical team.