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OPHTHALMOLOGY PRACTICE
Year : 2014  |  Volume : 62  |  Issue : 11  |  Page : 1086-1088

Anterior migration of dexamethasone implant in a pseudophakic patient with intact posterior capsule


1 Department of Ophthalmology, Dokuz Eylul University, School of Medicine, Izmir, Turkey
2 Department of Ophthalmology, Alfa Eye Center, Izmir, Turkey

Correspondence Address:
Taylan Ozturk
Department of Ophthalmology, Dokuz Eylul University School of Medicine, 2040 Sokak, Albatros-9 No. 152, Daire 26, Mavisehir, 35540, Izmir
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.146763

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Intravitreal application of Ozurdex ® (Allergan, Inc., Irvine, CA, USA) which is a biodegradable, sustained-release dexamethasone implant has been reported to be effective in the treatment of macular edema. Migration of such implant into the anterior chamber has been recently described in cases without perfect zonular or the posterior capsular integrity. Herein, we report the first case with anterior migration of Ozurdex ® implant that mislocated just behind the intraocular lens (IOL) in an intact capsular bag. It is thought that such implant migrated anteriorly towards into the posterior chamber through weak zonules as the present case had a medical history of uneventful phacoemulsification surgery with the implantation of posterior chamber IOL. However, the migrated implant was well tolerated since there was no sign of the corneal complication, rise in intraocular pressure, and anterior chamber reaction. Close follow-up was scheduled to find out any signs of anterior segment pathology. Meanwhile dexamethasone implant completely degraded at the 4 th month of postoperative follow-up.


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