<oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
  <dc:creator>Nguyen TL</dc:creator>
  <dc:creator>Wolfensberger TJ</dc:creator>
  <dc:date>2019</dc:date>
  <dc:description xmlns:ns0="xml" ns0:lang="en">PURPOSE
To characterise the surgical removal technique of a dislocated dexamethasone implant in the anterior chamber and to gauge its success by analysing corneal transparency and subsequent visual acuity recovery in the postoperative phase.


METHODS
Description of a patient who presented with an anterior chamber dexamethasone implant migration through an inferior iridotomy performed previously for a silicone oil fill in aphakia. Visual acuity had dropped to counting fingers due to marked corneal oedema.


RESULTS
The implant was removed using a 23-g needle aligned with the axis of the implant through a paracentesis. After the clinical follow-up at 2 months, best-corrected visual acuity had returned to 0.2, which remained stable at the last follow-up at 14 months with an intraocular pressure of 10 mmHg. The corneal oedema resolved completely.


CONCLUSION
This novel surgical management of a dexamethasone implant dislocation into the anterior chamber was successful and resulted in no long-term corneal damage when the implant was removed without delay. A repeated Ozurdex injection in patients with previous inferior iridotomy may require prior suturing of the iridotomy.</dc:description>
  <dc:identifier>https://sonar.ch/global/documents/78298</dc:identifier>
  <dc:language>eng</dc:language>
  <dc:relation>info:eu-repo/semantics/altIdentifier/doi/10.1055/a-0808-1847</dc:relation>
  <dc:relation>info:eu-repo/semantics/altIdentifier/pmid/30616285</dc:relation>
  <dc:source>Klinische Monatsblatter fur Augenheilkunde. - 2019</dc:source>
  <dc:subject xmlns:ns1="xml" ns1:lang="en">Anterior Chamber</dc:subject>
  <dc:subject xmlns:ns2="xml" ns2:lang="en">Dexamethasone</dc:subject>
  <dc:subject xmlns:ns3="xml" ns3:lang="en">Drug Implants</dc:subject>
  <dc:subject xmlns:ns4="xml" ns4:lang="en">Foreign-Body Migration</dc:subject>
  <dc:subject xmlns:ns5="xml" ns5:lang="en">Humans</dc:subject>
  <dc:subject xmlns:ns6="xml" ns6:lang="en">Macular Edema</dc:subject>
  <dc:title xmlns:ns7="xml" ns7:lang="en">Management of Anterior Chamber Dislocation of a Dexamethasone Implant.</dc:title>
  <dc:type>http://purl.org/coar/resource_type/c_6501</dc:type>
</oai_dc:dc>
