Uneventful Anterior Migration of Intravitreal Ozurdex Implant in a Patient with Iris-Sutured Intraocular Lens and Descemet Stripping Automated Endothelial Keratoplasty.
Details
State: Public
Version: Final published version
License: CC BY-NC 4.0
Serval ID
serval:BIB_AB9327BABC37
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Uneventful Anterior Migration of Intravitreal Ozurdex Implant in a Patient with Iris-Sutured Intraocular Lens and Descemet Stripping Automated Endothelial Keratoplasty.
Journal
Case reports in ophthalmology
ISSN
1663-2699 (Print)
ISSN-L
1663-2699
Publication state
Published
Issued date
2018
Peer-reviewed
Oui
Volume
9
Number
1
Pages
143-148
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Publication Status: epublish
Abstract
We report here the case of a patient with anterior segment migration of intravitreal dexamethasone implant as well as its management and outcome.
The patient had the following sequence of events: complicated cataract surgery, iris-sutured intraocular lens implant, followed by cystoid macular edema treated with intravitreal Avastin, retinal vein occlusion treated with intravitreal dexamethasone implant, corneal decompensation treated with Descemet stripping automated endothelial keratoplasty (DSAEK), and finally recurrence of macular edema treated with repeated intravitreal dexamethasone implant.
Dexamethasone implant had completely dissolved from the eye 12 weeks after insertion without any complication.
A conservative approach with regular monitoring in the situation of a quiet anterior segment without any corneal decompensation can provide enough time for the implant to dissolve without causing any complication to the involved eye, avoiding any additional surgical intervention, as presented in this case report. Despite the fact that the implant was left for natural dissolution, there were no adverse effects related to the graft or the eye.
The patient had the following sequence of events: complicated cataract surgery, iris-sutured intraocular lens implant, followed by cystoid macular edema treated with intravitreal Avastin, retinal vein occlusion treated with intravitreal dexamethasone implant, corneal decompensation treated with Descemet stripping automated endothelial keratoplasty (DSAEK), and finally recurrence of macular edema treated with repeated intravitreal dexamethasone implant.
Dexamethasone implant had completely dissolved from the eye 12 weeks after insertion without any complication.
A conservative approach with regular monitoring in the situation of a quiet anterior segment without any corneal decompensation can provide enough time for the implant to dissolve without causing any complication to the involved eye, avoiding any additional surgical intervention, as presented in this case report. Despite the fact that the implant was left for natural dissolution, there were no adverse effects related to the graft or the eye.
Keywords
Anterior chamber migration, Descemet stripping automated endothelial keratoplasty, Intravitreal Ozurdex implant, Iris-sutured intraocular lens
Pubmed
Open Access
Yes
Create date
19/04/2018 21:07
Last modification date
20/08/2019 16:15
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