Uneventful Anterior Migration of Intravitreal Ozurdex Implant in a Patient with Iris-Sutured Intraocular Lens and Descemet Stripping Automated Endothelial Keratoplasty
Purpose: We report here the case of a patient with anterior segment migration of intravitreal dexamethasone implant as well as its management and outcome. Methods: The patient had the following sequence of events: complicated cataract surgery, iris-sutured intraocular lens implant, followed by cysto...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2018-02-01
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| Series: | Case Reports in Ophthalmology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/486924 |
| _version_ | 1828790155480137728 |
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| author | Andleeb Zafar Ioannis M. Aslanides Vasileios Selimis Konstantinos I. Tsoulnaras David Tabibian George D. Kymionis |
| author_facet | Andleeb Zafar Ioannis M. Aslanides Vasileios Selimis Konstantinos I. Tsoulnaras David Tabibian George D. Kymionis |
| author_sort | Andleeb Zafar |
| collection | DOAJ |
| description | Purpose: We report here the case of a patient with anterior segment migration of intravitreal dexamethasone implant as well as its management and outcome. Methods: The 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. Results: Dexamethasone implant had completely dissolved from the eye 12 weeks after insertion without any complication. Conclusion: A 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. |
| first_indexed | 2024-12-12T01:24:13Z |
| format | Article |
| id | doaj.art-e15a99b8ff644f04a77d943d4c50b561 |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-12-12T01:24:13Z |
| publishDate | 2018-02-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-e15a99b8ff644f04a77d943d4c50b5612022-12-22T00:43:08ZengKarger PublishersCase Reports in Ophthalmology1663-26992018-02-019114915410.1159/000486924486924Uneventful Anterior Migration of Intravitreal Ozurdex Implant in a Patient with Iris-Sutured Intraocular Lens and Descemet Stripping Automated Endothelial KeratoplastyAndleeb ZafarIoannis M. AslanidesVasileios SelimisKonstantinos I. TsoulnarasDavid TabibianGeorge D. KymionisPurpose: We report here the case of a patient with anterior segment migration of intravitreal dexamethasone implant as well as its management and outcome. Methods: The 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. Results: Dexamethasone implant had completely dissolved from the eye 12 weeks after insertion without any complication. Conclusion: A 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.https://www.karger.com/Article/FullText/486924Anterior chamber migrationIntravitreal Ozurdex implantIris-sutured intraocular lensDescemet stripping automated endothelial keratoplasty |
| spellingShingle | Andleeb Zafar Ioannis M. Aslanides Vasileios Selimis Konstantinos I. Tsoulnaras David Tabibian George D. Kymionis Uneventful Anterior Migration of Intravitreal Ozurdex Implant in a Patient with Iris-Sutured Intraocular Lens and Descemet Stripping Automated Endothelial Keratoplasty Case Reports in Ophthalmology Anterior chamber migration Intravitreal Ozurdex implant Iris-sutured intraocular lens Descemet stripping automated endothelial keratoplasty |
| title | Uneventful Anterior Migration of Intravitreal Ozurdex Implant in a Patient with Iris-Sutured Intraocular Lens and Descemet Stripping Automated Endothelial Keratoplasty |
| title_full | Uneventful Anterior Migration of Intravitreal Ozurdex Implant in a Patient with Iris-Sutured Intraocular Lens and Descemet Stripping Automated Endothelial Keratoplasty |
| title_fullStr | Uneventful Anterior Migration of Intravitreal Ozurdex Implant in a Patient with Iris-Sutured Intraocular Lens and Descemet Stripping Automated Endothelial Keratoplasty |
| title_full_unstemmed | Uneventful Anterior Migration of Intravitreal Ozurdex Implant in a Patient with Iris-Sutured Intraocular Lens and Descemet Stripping Automated Endothelial Keratoplasty |
| title_short | Uneventful Anterior Migration of Intravitreal Ozurdex Implant in a Patient with Iris-Sutured Intraocular Lens and Descemet Stripping Automated Endothelial Keratoplasty |
| title_sort | uneventful anterior migration of intravitreal ozurdex implant in a patient with iris sutured intraocular lens and descemet stripping automated endothelial keratoplasty |
| topic | Anterior chamber migration Intravitreal Ozurdex implant Iris-sutured intraocular lens Descemet stripping automated endothelial keratoplasty |
| url | https://www.karger.com/Article/FullText/486924 |
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