Uneventful Anterior Migration of Intravitreal Ozurdex Implant in a Patient with Iris-Sutured Intraocular Lens and Descemet Stripping Automated Endothelial Keratoplasty

Uneventful Anterior Migration of Intravitreal Ozurdex Implant in a Patient with Iris-Sutured Intraocular Lens and Descemet Stripping Automated Endothelial Keratoplasty

PURPOSEWe report here the case of a patient with anterior segment migration of intravitreal dexamethasone implant as well as its management and outcome. METHODSThe patient had the following sequence of events: complicated cataract surgery, iris-sutured intraocular lens implant, followed by cystoid m...

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Veröffentlicht in:Case reports in ophthalmology 2018, Vol.9 (1), p.143-148
Hauptverfasser: Zafar, Andleeb, Aslanides, Ioannis M, Selimis, Vasileios, Tsoulnaras, Konstantinos I, Tabibian, David, Kymionis, George D
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container_end_page 148
container_issue 1
container_start_page 143
container_title Case reports in ophthalmology
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creator Zafar, Andleeb
Aslanides, Ioannis M
Selimis, Vasileios
Tsoulnaras, Konstantinos I
Tabibian, David
Kymionis, George D
description PURPOSEWe report here the case of a patient with anterior segment migration of intravitreal dexamethasone implant as well as its management and outcome. METHODSThe 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. RESULTSDexamethasone implant had completely dissolved from the eye 12 weeks after insertion without any complication. CONCLUSIONA 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.
doi_str_mv 10.1159/000486924
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METHODSThe 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. RESULTSDexamethasone implant had completely dissolved from the eye 12 weeks after insertion without any complication. CONCLUSIONA 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. 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Despite the fact that the implant was left for natural dissolution, there were no adverse effects related to the graft or the eye.</abstract><doi>10.1159/000486924</doi></addata></record>
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title Uneventful Anterior Migration of Intravitreal Ozurdex Implant in a Patient with Iris-Sutured Intraocular Lens and Descemet Stripping Automated Endothelial Keratoplasty
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