Pars plana vitrectomy and re-directing a dexamethasone implant into vitreous cavity following misdirected entry into the crystalline lens

Indian J Ophthalmol. 2018 Jul;66(7):1033-1036. doi: 10.4103/ijo.IJO_1179_17.

Abstract

A known diabetic patient presented with diabetic macular edema (DME) and nonproliferative diabetic retinopathy in both eyes with a vision of 6/18, N12in the right eye and 4/60, N36in the left eye (LE). The patient had undergone injection of dexamethasone implant in the LE which got misdirected into the crystalline lens. The patient was taken up for phacoemulsification with intraocular lens implantation along with vitrectomy and posterior vitreous detachment induction, and redirection of the dexamethasone implant into the vitreous cavity. The DME resolved over the next 3 months.

Keywords: Dexamethasone implant; Ozurdex; diabetic macular edema; foreign body in lens; intravitreal steroid.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Cataract / complications*
  • Dexamethasone / administration & dosage*
  • Diabetic Retinopathy / complications*
  • Diabetic Retinopathy / diagnosis
  • Diabetic Retinopathy / drug therapy
  • Drug Implants
  • Glucocorticoids / administration & dosage
  • Humans
  • Intravitreal Injections
  • Lens, Crystalline
  • Macular Edema / diagnosis
  • Macular Edema / therapy*
  • Male
  • Middle Aged
  • Phacoemulsification
  • Slit Lamp Microscopy
  • Visual Acuity
  • Vitrectomy / methods*

Substances

  • Drug Implants
  • Glucocorticoids
  • Dexamethasone