Authors: Carlos Mateo Micol Alkabes Anniken BurésJelstrup
Publish Date: 2013/08/09
Volume: 34, Issue: 3, Pages: 661-665
Abstract
OZURDEX® is a biodegradable drug delivery system which has been reported to be an effective treatment in cases of macular edema However migration of the implant into the anterior chamber with elevation of intraocular pressure and corneal decompensation might occur in some cases We report a case of an 80yearold male who underwent intravitreal scleral fixation of OZURDEX® due to postoperative macular edema secondary to complicated cataract surgery He had a previous anglesupported lens implantation with superior NdYAG laser iridotomy During surgery the dexamethasone implant was introduced into the vitreous cavity and sutured to the sclera using a 100 nonabsorbable polypropylene suture to prevent the risk of anterior complications in case of migration into the anterior chamber After 6 months of followup the macular edema had disappeared completely the drug delivery system was not observed in the posterior segment and bestcorrected visual acuity improved from 20/125 to 20/40 Snellen equivalent Neither anterior nor posterior segment complications were reported during the followup period Intravitreal scleral fixation of the OZURDEX® to the pars plana could be recommended as an alternative technique to avoid anterior migration of the device in a patient with an anterior chamber intraocular lens which may lead to corneal decompensation and increased intraocular pressure
Keywords: