Anterior chamber migration of a dexamethasone implant in a pseudophakic patient with a scleral-fixated posterior chamber intraocular lens

We report the case of anterior chamber migration of a dexamethasone implant (Ozurdex(®)) in a 54-year-old woman with macular edema due to a central retinal vein occlusion. The patient had undergone complicated cataract surgery 5 years previously with a scleral-fixated posterior chamber lens implant....

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Bibliographic Details
Published in:	Journal francais d'ophtalmologie Vol. 36; no. 4; p. e59
Main Authors:	Laplace, O, Rodallec, T, Akesbi, J, Sandali, O
Format:	Journal Article
Language:	French
Published:	France 01-04-2013
Subjects:	Anterior Chamber - pathology Artificial Lens Implant Migration - complications Artificial Lens Implant Migration - diagnosis Dexamethasone - administration & dosage Drug Implants Eye Diseases - diagnosis Eye Diseases - etiology Female Humans Lens Implantation, Intraocular - adverse effects Middle Aged Phakic Intraocular Lenses - adverse effects Prosthesis Failure Pseudophakia - complications Sclera
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Summary:	We report the case of anterior chamber migration of a dexamethasone implant (Ozurdex(®)) in a 54-year-old woman with macular edema due to a central retinal vein occlusion. The patient had undergone complicated cataract surgery 5 years previously with a scleral-fixated posterior chamber lens implant. An uneventful intravitreal Ozurdex(®) implant injection was performed. One month later, the patient presented emergently with painless visual loss. Slit-lamp examination revealed the presence of discrete corneal edema associated with the implant in the anterior chamber. The implant was surgically removed from the anterior chamber 24 hours later with complete resolution of corneal edema.
ISSN:	1773-0597
DOI:	10.1016/j.jfo.2012.06.022