Management of Anterior Chamber Dislocation of Dexamethasone Implant

Abstract

Purpose: To report dislocation of dexamethasone implant (Ozurdex®) into the anterior chamber and to discuss intervention options.

Design: Interventional case report.

Methods: An 89-year-old woman presented after Ozurdex® implant injection for chronic cystoid macular edema secondary to idiopathic intermediate uveitis. The dexamethasone implant dislocated into the anterior chamber. Pharmacologic dilation was administered and the patient was placed in a reclined supine position.

Results: Successful repositioning of the implant into the vitreous cavity.

Conclusions: Although it is a rare complication, anterior dislocation of a dexamethasone implant may have serious consequences. Early recognition and appropriate management is advisable.

KEYWORDS::

• Anterior chamber dislocation
• Cystoid macular edema
• Dexamethasone intravitreal implant
• Intermediate uveitis
• Ozurdex^®

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.