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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...

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Autores principales: Zafar, Andleeb, Aslanides, Ioannis M., Selimis, Vasileios, Tsoulnaras, Konstantinos I., Tabibian, David, Kymionis, George D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5892334/
https://www.ncbi.nlm.nih.gov/pubmed/29643797
http://dx.doi.org/10.1159/000486924
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author Zafar, Andleeb
Aslanides, Ioannis M.
Selimis, Vasileios
Tsoulnaras, Konstantinos I.
Tabibian, David
Kymionis, George D.
author_facet Zafar, Andleeb
Aslanides, Ioannis M.
Selimis, Vasileios
Tsoulnaras, Konstantinos I.
Tabibian, David
Kymionis, George D.
author_sort Zafar, Andleeb
collection PubMed
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.
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spelling pubmed-58923342018-04-11 Uneventful Anterior Migration of Intravitreal Ozurdex Implant in a Patient with Iris-Sutured Intraocular Lens and Descemet Stripping Automated Endothelial Keratoplasty Zafar, Andleeb Aslanides, Ioannis M. Selimis, Vasileios Tsoulnaras, Konstantinos I. Tabibian, David Kymionis, George D. Case Rep Ophthalmol Case Report 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. S. Karger AG 2018-02-14 /pmc/articles/PMC5892334/ /pubmed/29643797 http://dx.doi.org/10.1159/000486924 Text en Copyright © 2018 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Case Report
Zafar, Andleeb
Aslanides, Ioannis M.
Selimis, Vasileios
Tsoulnaras, Konstantinos I.
Tabibian, David
Kymionis, George D.
Uneventful Anterior Migration of Intravitreal Ozurdex Implant in a Patient with Iris-Sutured Intraocular Lens and 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 Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5892334/
https://www.ncbi.nlm.nih.gov/pubmed/29643797
http://dx.doi.org/10.1159/000486924
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