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Year : 2018  |  Volume : 56  |  Issue : 4  |  Page : 276

Anteriorly migrated dexamethasone implant


1 Glaucoma Services, Aravind Eye Hospital, Coimbatore, Tamil Nadu, India
2 Retina Services, Aravind Eye Hospital, Coimbatore, Tamil Nadu, India

Date of Web Publication19-Feb-2019

Correspondence Address:
Dr. Premanand Chandran
Aravind Eye Hospital, Avinashi Road, Coimbatore - 641 014, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_107_18

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How to cite this article:
Chandran P, Raman GV, Saravanan VR. Anteriorly migrated dexamethasone implant. TNOA J Ophthalmic Sci Res 2018;56:276

How to cite this URL:
Chandran P, Raman GV, Saravanan VR. Anteriorly migrated dexamethasone implant. TNOA J Ophthalmic Sci Res [serial online] 2018 [cited 2019 Mar 24];56:276. Available from: http://www.tnoajosr.com/text.asp?2018/56/4/276/252487



A 62-year-old female with pseudoexfoliation glaucoma underwent trabeculectomy followed by cataract surgery (lens removal with implantation of the scleral-fixated intraocular lens [SFIOL]) in the right eye. Postoperatively, her visual acuity was 6/60 with cystoid macular edema (central macular thickness was 948 μm), which was recalcitrant to topical steroids [Figure 1]a. She underwent intravitreal injection of dexamethasone implant (Ozurdex). Two weeks postinjection, the implant had migrated anteriorly between the iris and SFIOL [Figure 1]b, but the patient was asymptomatic. Two months later, her visual acuity improved to 6/12 with complete resolution of cystoid macular edema [Figure 1]c.
Figure 1: (a) Optical coherence tomography showing cystoid spaces in the macula, (b) slit-lamp photograph showing dexamethasone implant lying between the iris and intraocular lens in visual axis, and (c) optical coherence tomography showing complete resolution of cystoid macular edema

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.




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