The nomadic Ozurdex<sup>®</sup>: Anterior migration of the dexamethasone implant and back!

PurposeTo report a complication little reported until now: to and fro migration of the dexamethasone implant between the anterior and posterior segment (wandering Ozurdex) of sclera fixated intraocular lens (IOL) eyes and its effective management.MethodsTwo cases of to and fro migration of Ozurdex (wandering Ozurdex) in two pseudophakic patients with scleral fixated posterior chamber IOL: first, a case of Vogt Koyanagi Harada (VKH) disease and second, a case of pseudophakic cystoids macular edema (CME) were successfully managed.ResultsBoth patients were initially managed with repositioning of implants by supine posturing and use of drugs, but implants again migrated into anterior chamber and underwent surgical removal with preservation of corneal transparency.ConclusionsPatients with scleral fixated posterior chamber IOL present a high risk of anterior chamber migration of the Ozurdex implant. Prompt removal of Ozurdex implant in these patients can reduce risk of endothelial decompensation. In such cases, returning the implant with positioning is not a good option.

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Wandering Ozurdex in eyes with scleral fixated intraocular lens and its management: A report of two cases

Kumar

Ambiya

Kapoor

et al. 2019

Journal of Current Ophthalmology

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Modified No-Touch Technique for Removal of a Dexamethasone Implant that has Migrated to the Anterior Chamber

Stewart

2018

Ocular Immunology and Inflammation

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Review of Risk Factors and Complications of Anterior Migration of Ozurdex Implant: Lessons Learnt from the Previous Reports

Khor,

Lott,

Wan Ab Kadir

et al. 2024

Journal of Ocular Pharmacology and Therapeutics

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The nomadic Ozurdex^®: Anterior migration of the dexamethasone implant and back!

Cited by 7 publications

References 12 publications

Wandering Ozurdex in eyes with scleral fixated intraocular lens and its management: A report of two cases

Wandering Ozurdex in eyes with scleral fixated intraocular lens and its management: A report of two cases

Modified No-Touch Technique for Removal of a Dexamethasone Implant that has Migrated to the Anterior Chamber

Review of Risk Factors and Complications of Anterior Migration of Ozurdex Implant: Lessons Learnt from the Previous Reports

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The nomadic Ozurdex®: Anterior migration of the dexamethasone implant and back!

Cited by 7 publications

References 12 publications

Wandering Ozurdex in eyes with scleral fixated intraocular lens and its management: A report of two cases

Wandering Ozurdex in eyes with scleral fixated intraocular lens and its management: A report of two cases

Modified No-Touch Technique for Removal of a Dexamethasone Implant that has Migrated to the Anterior Chamber

Review of Risk Factors and Complications of Anterior Migration of Ozurdex Implant: Lessons Learnt from the Previous Reports

Contact Info

Product

Resources

About

The nomadic Ozurdex^®: Anterior migration of the dexamethasone implant and back!