DR. AAYESHA KHANUM

DR. THIRUMALESH M. B.

Abstract

Most suprachoroidal (SC) needles are patented and not easily available. We present a very simplified idea for “Do it yourself (DIY)” model for SC needle. This model of needle was used in for injection in 10 patients. In our video we demonstrate how to use a 26-gauge needle along with an innovative guard and injection technique, which helps in delivering the drug (Triamcinolone Acetonide in our cases) into the SC space, we also use Swept-source OCT images to prove the presence of the drug in the SC space, post injection. None of the patient had inadvertent entry to the vitreous cavity. Most common complication noted was subconjunctival hemorrhage in 3 out of 10 patients. SC injection is an evolving technique and newer mode of delivery for drugs for treating retinal and macular pathology as well as has utilisation in various upcoming cell therapies and gene therapies. We demonstrate a technique which is safe, economical, easily replicable for delivering drugs in the SC space.