‘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...

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Main Authors: Teo, BH, Safinaz Mohd Khialdin, Mae-Lynn Catherine Bastion, Amin A, R, Edward, Mushawiahti Mustapha
Format: Article
Language:English
Published: Pusat Perubatan Universiti Kebangsaan Malaysia 2018
Online Access:http://journalarticle.ukm.my/20619/
http://journalarticle.ukm.my/20619/1/18_ms0213_pdf_14189.pdf
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author Teo, BH
Safinaz Mohd Khialdin,
Mae-Lynn Catherine Bastion,
Amin A,
R, Edward
Mushawiahti Mustapha,
author_facet Teo, BH
Safinaz Mohd Khialdin,
Mae-Lynn Catherine Bastion,
Amin A,
R, Edward
Mushawiahti Mustapha,
author_sort Teo, BH
building UKM Institutional Repository
collection Online Access
description 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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spelling oai:generic.eprints.org:206192022-11-28T13:10:37Z http://journalarticle.ukm.my/20619/ ‘Boating’ out migrated dexamethasone implant; surgical management of removal of anterior chamber migrated dexamethasone intravitreal implant : a case report Teo, BH Safinaz Mohd Khialdin, Mae-Lynn Catherine Bastion, Amin A, R, Edward Mushawiahti Mustapha, 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. Pusat Perubatan Universiti Kebangsaan Malaysia 2018-12 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/20619/1/18_ms0213_pdf_14189.pdf Teo, BH and Safinaz Mohd Khialdin, and Mae-Lynn Catherine Bastion, and Amin A, and R, Edward and Mushawiahti Mustapha, (2018) ‘Boating’ out migrated dexamethasone implant; surgical management of removal of anterior chamber migrated dexamethasone intravitreal implant : a case report. Medicine & Health, 13 (2). pp. 175-179. ISSN 2289-5728 https://www.medicineandhealthukm.com/toc/13/2
spellingShingle Teo, BH
Safinaz Mohd Khialdin,
Mae-Lynn Catherine Bastion,
Amin A,
R, Edward
Mushawiahti Mustapha,
‘Boating’ out migrated dexamethasone implant; surgical management of removal of anterior chamber migrated dexamethasone intravitreal implant : a case report
title ‘Boating’ out migrated dexamethasone implant; surgical management of removal of anterior chamber migrated dexamethasone intravitreal implant : a case report
title_full ‘Boating’ out migrated dexamethasone implant; surgical management of removal of anterior chamber migrated dexamethasone intravitreal implant : a case report
title_fullStr ‘Boating’ out migrated dexamethasone implant; surgical management of removal of anterior chamber migrated dexamethasone intravitreal implant : a case report
title_full_unstemmed ‘Boating’ out migrated dexamethasone implant; surgical management of removal of anterior chamber migrated dexamethasone intravitreal implant : a case report
title_short ‘Boating’ out migrated dexamethasone implant; surgical management of removal of anterior chamber migrated dexamethasone intravitreal implant : a case report
title_sort ‘boating’ out migrated dexamethasone implant; surgical management of removal of anterior chamber migrated dexamethasone intravitreal implant : a case report
url http://journalarticle.ukm.my/20619/
http://journalarticle.ukm.my/20619/
http://journalarticle.ukm.my/20619/1/18_ms0213_pdf_14189.pdf