Silicone lubricant "seeks its own" - Macular Society

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Silicone lubricant "seeks its own"

Jihm profile image
Jihm
5 Replies

Immediately after my first injection from a new injector, at a new practice, (inj of Eylea), I saw my bubble of silicone (which was originally from an Avastin inj, using a stick-on needle type syringe , I had received years ago) larger and more dramatically than ever before. This large black disc with a gold center persisted until the next morning. It then left my field of vision, only to reappear in smaller, more familiar form weeks later. I had originally asked my former provider to switch from Avastin to Eylea because the practice where I was receiving my shots (a practice now closed) was using pre-loaded syringes with stick-on (friction held) needles for Avastin shots. (Yes, this is the USA.) Anyway, I found out, from a very thorough & knowledgeable local eye doctor, that if you get a second bit of silicone lube in your eye from a shot, that bit of silicone will join with the first bit and form a larger bubble - rather than leaving you with 2 bubbles bobbing around in your eye. I did not know that. And I thought I'd just pass than on. Hence this post.

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Jihm
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5 Replies
RP1944 profile image
RP1944

Good morning Jihm, thanks for posting this information. I am having Eyelea injections but know what to look out for if I ever get changed to Avastin. I hope the silicone bubble doesn’t cause you too many problems. Best wishes.

Jihm profile image
Jihm in reply toRP1944

Thanks! If you are in the UK, you have less to worry about in that regard because they do not use those preloaded syringes with the stick-on needles in the UK, even for Avastin.

RP1944 profile image
RP1944 in reply toJihm

In Cyprus actually but consultant trained in the UK.

ANetliner profile image
ANetliner

Thank you for this post, Jihm. I just experienced black disc/s (first 2, then 1) after my second Avastin shot. I am very grateful for this information. From another thread on this site, it appears that this reaction can occur with Eylea, too, but I appreciate the caution about Avastin.

Jihm profile image
Jihm in reply toANetliner

It really happens because of the particular type of syringe /needle used rather than the medication. The stick-on needles are more likely to get a bit of silicon lubricant on them from the syringe. That kind if needle is usually found on preloaded doses. In the US, that ismost often Avastin.

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