‘Boating’ out migrated dexamethasone implant; surgical management of removal of anterior chamber migrated dexamethasone intravitreal implant : a case report
It is rare for anterior chamber migration of an Ozurdex® implant from vitreous cavity, but it is seen more frequently in aphakic eyes or in pseudophakic cases with zonular dehiscense. We describe a case of a middle-aged gentleman who had persistent diabetic macular oedema not responding to ant...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Pusat Perubatan Universiti Kebangsaan Malaysia
2018
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| Online Access: | http://journalarticle.ukm.my/20619/ http://journalarticle.ukm.my/20619/1/18_ms0213_pdf_14189.pdf |
| Summary: | It is rare for anterior chamber migration of an Ozurdex® implant from vitreous
cavity, but it is seen more frequently in aphakic eyes or in pseudophakic cases
with zonular dehiscense. We describe a case of a middle-aged gentleman who
had persistent diabetic macular oedema not responding to anti-VEGF (vascular
endothelium growth factor), who was treated with intravitreal Ozurdex® in his post
vitrectomized eye and developed anterior migration of the implant to the anterior
chamber. Anterior dislocation of an intravitreal implant of dexamethasone can be
managed by repositioning it to the vitreous cavity or removing it through a corneal
limbal incision. Ozurdex® is a friable implant, especially after a few weeks of
implantation. Therefore, removal of the implant by grasping or aspiration may lead
to its fracture or dispersion of the implant material. This is a report of a simple,fast
and effective technique to remove a migrated Ozurdex® from the anterior chamber
using a modified silicone tip. |
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