Irvine - Gass Syndrome Treatment in Extracapsular Pseudophakia Using Intravitreal Injections. A Clinical Case

Macular edema (ME), or Irvine - Gass syndrome, emerging at different times after cataract extraction, remains a leading complication which brings about a significant vision reduction. The authors analyze three cases of macular edema in extracapsular IOL fixation in Marfan syndrome, which developed 9 months, 19 months and 8 years after cataract extraction. The advantages of intravitreal injections of dexamethasone implant (Ozurdeх), anti-VEGF agents (Ranibizumab) for postoperative ME treatment was shown. A higher efficiency of intravitreal injections of drugs as compared to traditional treatment techniques is explained by the fact that the active substance is directly delivered to the affected area. Recommendations for the treatment protocol are as follows: the number of procedures, the order of application and the choice of drug for intravitreal injection (steroids vs. anti-VEGF drugs) require further study // Russian Ophthalmological Journal, 2016; 1: 87-96.