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Year : 2023  |  Volume : 3  |  Issue : 2  |  Page : 357-359

Migration of dexamethasone implant (OZURDEX®) into the anterior chamber in a pseudophakic eye with an intact capsular bag

1 Department of Vitreo Retina, Aditya Birla Sankara Nethralaya, Kolkata, West Bengal, India
2 Department of Cornea, Aditya Birla Sankara Nethralaya, Kolkata, West Bengal, India
3 Department of Glaucoma, Aditya Birla Sankara Nethralaya, Kolkata, West Bengal, India
4 Departement of Vitreo Retina, Nethralayam Superspeciality Eye Hospital, Kolkata, West Bengal, India

Correspondence Address:
Rupak Roy
Aditya Birla Sankara Nethralaya, 147, Mukundapur, E.M.Bypass, Kolkata . 700 099, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJO.IJO_3127_22

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Ozurdex® (Allergan, Inc., Irvine, CA, USA) is an intravitreal sustained-release drug delivery system containing dexamethasone, mainly used for the treatment of macular edema in diabetes, retinal vein occlusions or treatment of non-infectious posterior uveitis, as approved by the US FDA. It can be implanted into the vitreous cavity via the pars plana route. Migration of this implant into the anterior chamber may occur in cases of aphakia, pseudophakia with defective lens capsule, zonular dehiscence, iatrogenic, or as in pseudoexfoliation syndrome. We report a case of a pseudophakic patient with intact posterior capsule and no significant history suggesting a zonular weakness, who presented with diminution of vision due to anterior migration of the dexamethasone implant and its effects on the cornea. Measurements of specular microscopy provide useful information which may aid in management pre- and post-removal of migrated implant.

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