If you live with wet age-related macular degeneration (wet AMD), your doctor may recommend injections of anti-VEGF (anti-vascular endothelial growth factor) medication to treat it.
These injections may help slow vision loss and preserve or even improve your vision.
But before you have these injections for the first time, it’s important to know what to expect afterward. Most side effects from eye injections don’t last long, and you can manage them at home.
In this article, we cover what side effects you might experience from anti-VEGF injections (which your doctor may call intravitreal injections) and how to manage them.
There are several side effects you might experience from anti-VEGF injections. Most of them are managed in similar ways.
Common side effects after having eye injections include:
There’s not much research on how common these side effects are. Some people on myAMDteam report having them, while others don’t. It’s important to know what might happen after your injections, but you may not have any problems at all. Your reaction may also vary from one injection to the next.
You can do several things to manage the side effects of anti-VEGF eye injections. You may need to experiment to find out which of these options work best for you, or try them in combination.
Everyday pain relievers such as acetaminophen can help with both eye pain and eye irritation. Talk to your ophthalmologist before taking them to make sure they’re right for you.
Follow all instructions for the pain reliever you choose. Use it responsibly, and let your doctor know if it doesn’t work.
If you’ve had these eye injections before and know you’ll need pain relief afterward, talk to your doctor about taking a dose before the procedure. This may help reduce irritation from antiseptics like Betadine.
Close your eyes and place something cool over them. This can be a damp washcloth that you run under cool water.
One myAMDteam member who uses this method shared, “I use a cool compress after the injection to soothe my eyes, and I always take a nap to rest my eyes.”
Other people may prefer something colder on their eyes, like an ice pack or ice mask.
Another myAMDteam member swears by this. They shared, “What helps me through three years of injections in both eyes is using a gel ice mask right after. I bring it with me in a small cooler, and I wear it home as my daughter drives.”
If you choose this method, follow the instructions on your ice pack or mask, and talk to your ophthalmology team about how long you should leave it on.
Lubricating eye drops can help relieve discomfort around the eyeball. Follow your doctor’s instructions about how often and how long to use these drops.
Your healthcare team may recommend a certain type or brand of over-the-counter eye drops for use after your eye injections. They may also prescribe some. Either way, follow the instructions you’re given.
One myAMDteam member found a way to combine using eye drops and cooling after anti-VEGF treatment. They shared, “Tip of the day: Keep your eye drops in the refrigerator! Cold drops feel wonderful!”
If you’d like to try chilled eye drops, ask your doctor whether yours can be refrigerated.
Additional options you can try for managing side effects from anti-VEGF therapy include:
In addition to using certain tools to help with side effects, avoiding certain actions can help protect your eyes and support healing after your injections.
After your injections, avoid the following:
Your doctor will tell you exactly how long to avoid these activities. Being careful after your eye injections can help you avoid problems that might mean another trip to the eye doctor.
Occasionally, people experience more serious eye issues after anti-VEGF eye injections. If you have any of these issues, you will need additional medical care.
Symptoms to look for include:
In some cases, you may need emergency medical care. Your eye doctor may give you a list of specific symptoms that mean you need this kind of care. Or they may want you to contact them first so they can tell you what to do next.
Contact your eye doctor right away if you notice any of these symptoms. If your doctor is unavailable, seek emergency care. Call 911 if you have trouble breathing.
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