Accidental Intralenticular Injection of Ozurdex® for Branch Retinal Vein Occlusion: Intact Posterior Capsule and Resolution of Macular Edema

Case Reports in Ophthalmological Medicine
Ali KurtMurat Küçükevcilioğlu

Abstract

We present a case of accidental intralenticular injection of Ozurdex implant in a patient with macular edema secondary to branch retinal vein occlusion. A case report. Intravitreal dexamethasone implant injection had been performed for macular edema due to left superior temporal vein branch occlusion to the left eye of a 78-year-old male patient. The slit-lamp examination 85 days later revealed that the dexamethasone implant was intralenticular. The best-corrected visual acuity (BCVA) was 0.16 on the Snellen chart. Cataract surgery was decided on for the cataract as there was no anterior chamber inflammation, the intraocular pressure (IOP) was normal, and the macular edema had resolved. Uneventful phacoemulsification within the bag intraocular lens placement was performed. Accidental intralenticular Ozurdex injection is an extremely rare complication. The surgeon must decide whether to continue to observe or intervene immediately when such a complication is encountered. Cataract surgery can be planned if the macular edema has resolved and a cataract has developed. It is important to evaluate the posterior capsule with ultrasound biomicroscopy and Scheimpflug imaging before the cataract surgery to ensure a safe surgical procedure.

References

Feb 20, 2013·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Rupak Roy, Sandhya Hegde
Jul 31, 2013·Journal of Cataract and Refractive Surgery·Mihnea Munteanu, Cosmin Rosca
Jan 1, 2014·Acta Ophthalmologica·Francesco FasceFrancesco Bandello
Feb 13, 2014·European Journal of Ophthalmology·Javier Coca-RobinotJesús García-Martínez
Jun 14, 2016·Case Reports in Ophthalmology·Mehmet Ali SekerogluPelin Yilmazbas
Jun 19, 2016·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Kihwang LeeYoo-Ri Chung
Apr 26, 2017·Indian Journal of Ophthalmology·B PoornachandraRohit Shetty
Aug 11, 2016·American Journal of Ophthalmology Case Reports·Burhan BaskanSertan Goktas
Mar 9, 2018·Case Reports in Ophthalmology·Kathleen A ReganSiva S R Iyer

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Citations

May 18, 2021·Klinische Monatsblätter für Augenheilkunde·Rashid KourukmasGerd Geerling

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