Last Updated: 4 April, 2026
Macular degeneration is one of the leading causes of vision loss in Australians over the age of 50. If you or a loved one has recently been diagnosed, one of the first questions you are likely to ask is:
“How many eye injections will I need?”
The answer depends on several factors, including the type of macular degeneration, how early it is detected, and how your eye responds to treatment. Let us break it down clearly and simply.
What is macular degeneration?
Macular degeneration, also known as age-related macular degeneration (AMD), affects the macula — the central part of the retina responsible for sharp, detailed vision.
There are two main types:
- Dry macular degeneration. (more common, progresses slowly)
- Wet macular degeneration. (less common but more serious)
Eye injections are primarily used to treat macular degeneration.
Why are eye injections needed?
In wet macular degeneration, abnormal blood vessels grow underneath the retina. These vessels can leak fluid or bleed, causing rapid vision loss.
Eye injections contain anti-VEGF medication. These medicines:
- Stop abnormal blood vessel growth.
- Reduce fluid leakage.
- Help stabilise vision.
- Sometimes even improve vision.
Without treatment, wet macular degeneration can cause permanent central vision loss.
How many injections are usually required?
There is no fixed number that suits everyone. However, treatment generally follows a pattern.
Initial treatment phase
Most patients receive:
- 1 injection per month for the first 4 months.
This is known as the “loading phase” and is essential to control the disease early.
Ongoing treatment phase
After the first 4 injections, treatment depends on how your eye responds.
There are three common approaches:
- Monthly injections – Some patients continue monthly if the disease remains active.
- Treat and extend approach – Injections are gradually spaced out (for example, every 6–8 weeks, then 10–12 weeks) if the macula remains stable.
- As-needed treatment – Injections are given only if scans show fluid returning.
So, what is the total number?
In the first year, most patients receive:
- 6 to 12 injections.
Some patients may need:
- Ongoing injections for several years.
- Fewer injections if their condition stabilises well.
Macular degeneration is usually a long-term condition. While injections do not cure it, they help control it effectively.
What happens if injections are stopped?
Stopping injections too early can allow the abnormal blood vessels to become active again. This may lead to:
- Sudden vision deterioration.
- Permanent central vision damage.
- Reduced treatment effectiveness later.
That is why regular monitoring with OCT scans and specialist review is extremely important.
Are eye injections safe?
Eye injections are performed in a sterile procedure room and are generally very safe.
Most patients experience:
- Mild discomfort.
- Slight redness.
- Temporary irritation.
Serious complications are rare but can include infection or inflammation. Choosing an experienced ophthalmologist significantly reduces risks.
Can the number of injections be reduced?
Early diagnosis and consistent treatment give the best chance of reducing long-term injection frequency.
Other helpful measures include:
- Regular eye examinations.
- Managing blood pressure and cholesterol.
- Not smoking.
- Eating a healthy diet rich in leafy greens.
However, if wet macular degeneration is active, injections remain the gold standard treatment.
Conclusion
There is no one-size-fits-all answer to how many eye injections are needed for macular degeneration. Most patients require monthly injections initially, followed by ongoing treatment tailored to how their eye responds.
The key is early diagnosis, consistent follow-up, and personalised care.
If you or a family member has been diagnosed with macular degeneration and would like expert guidance, Dr Parth Shah provides comprehensive assessment and evidence-based treatment plans tailored to your individual needs.Do not wait for your vision to worsen. Book a consultation with Dr Parth Shah today to discuss your treatment options and protect your sight for the future.
Author bio
Dr Parth Shah is a leading ophthalmologist in Canberra, specialising in cataract surgery. With extensive training and experience, he is renowned for his expertise in the field. Dr Shah is dedicated not only to performing successful surgeries but also to patient education. His compassionate approach, combined with technical proficiency, has earned him the trust and gratitude of countless patients. He is a true advocate for eye health and a trusted name in the Canberra ophthalmology community.
FAQs
How long does each eye injection appointment take?The actual injection takes only a few seconds, but the full appointment usually lasts 30–60 minutes, including preparation, numbing drops, and post-injection checks.
Does the eye injection hurt?Most patients report pressure rather than pain. Anaesthetic drops are used to numb the eye, making the procedure generally comfortable.
Will I need injections in both eyes?Some patients develop wet macular degeneration in both eyes, either at the same time or years apart. Each eye is assessed and treated individually.
Can I drive home after an eye injection?Your vision may be slightly blurred immediately after the injection. Many patients prefer to arrange transport home, especially for the first few treatments.
How soon will I notice improvement in vision?Some patients notice improvement within weeks, while others experience stabilisation rather than visual improvement. The main goal is to prevent further vision loss.
Are there different types of injection medication available in Australia?Yes, several anti-VEGF medications are approved in Australia. Your ophthalmologist will recommend the most suitable option based on your specific condition and response to treatment.
Is treatment for macular degeneration covered by Medicare in Australia?Consultations and certain treatments may be partially covered by Medicare, while some medications may involve out-of-pocket costs. Your clinic can provide detailed fee information.
