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TRIESENCETM INFORMED CONSENT FOR TRIESENCETM INTRAVITREAL INJECTION OF ACETONIDE INDICATIONS AND POSSIBLE BENEFITS Your eye doctor (ophthalmologist) has diagnosed you with an eye condition.

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How to fill out the Intravitreal Injection online

Filling out the Intravitreal Injection form is an important step in managing your eye condition effectively. This guide provides clear, step-by-step instructions to help users navigate the process with ease.

Follow the steps to complete the Intravitreal Injection form online.

  1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
  2. Carefully read through the instructions provided on the form. This section typically includes details about risks, benefits, and alternatives regarding the Intravitreal Injection.
  3. Enter your personal information accurately. This includes your full name, date of birth, and contact details. Make sure to double-check for any typos.
  4. Indicate the specific eye condition that led to the recommendation for the injection. Provide a brief description as needed to ensure clarity.
  5. Review the section on possible side effects and complications. Acknowledge that you understand these by checking the appropriate box or signing where required.
  6. In the patient consent section, confirm that you have discussed the treatment with your ophthalmologist and that all questions have been answered. Signature lines will be provided for your compliance.
  7. Choose to sign the form either digitally or by printing it out if required. Ensure that all signatures are in place, including those of the witness and physician.
  8. Once all fields are completed, review the entire form for accuracy. Make any necessary corrections to prevent issues down the line.
  9. After finalizing the form, save your changes, and select the options to download, print, or share the completed form as needed.

Begin your journey towards better eye health by completing the Intravitreal Injection form online today.

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Soon after the intravitreal injection, the eye may feel slightly uncomfortable and you may experience burning. As the day goes on, it would be normal to feel irritation, burning, a scratchy feeling, and tearing. Over the counter lubricant eye ointment and/or Artificial tear drops can be used to soothe the eye.

Sometimes patients will experience improved vision (better than before the injection) within a week of the procedure. Most will have their vision stabilized.

*Normal side effects include dots, bubbles, shadows or floaters (which may be different colours) and may last a couple of days. *You may experience pain or an ache in your eye. Please use over the counter pain medication if needed. *Your eye may be red or bloodshot.

What are intravitreal injections used for? Intravitreal injections are used to administer medications to treat a variety of retinal conditions. Age-related macular degeneration (AMD), diabetic retinopathy and retinal vein occlusion are the most common conditions treated with intravitreal anti-VEGF drugs.

Most patients require a loading course of three injections at regular intervals of four weeks. After the first three courses of injections, the majority of patients will require further injections depending on the leakiness of the blood vessels.

You may experience heavy tearing or mild redness for a day or two after the injection. You may also feel like something is in your eye which can be a reaction to the very low-dose iodine solution used to clean the eye. Artificial tears can help to alleviate any dryness or irritation.

Intravitreal injections start working right away. For some conditions, like infections or inflammation, you may notice an improvement in your symptoms in a few hours. However, it may take 7-10 days to experience the maximum benefits of the medication.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232