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Misdirected ozurdex implant.

Amber Amar Bhayana¹, Suneel Kumar¹, Shorya Vardhan Azad¹

¹Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India.

Oman Journal of Ophthalmology

|June 4, 2021

Summary

This summary is machine-generated.

Accidental malpositioning of the Ozurdex implant, a common intravitreal steroid for posterior uveitis and macular edema, occurred in the patellar fossa. This case highlights a rare complication of this widely used ocular treatment.

Keywords:

Implant Ozurdex misdirected

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Area of Science:

Ophthalmology
Steroid Therapy
Intravitreal Injections

Background:

Ozurdex (dexamethasone intravitreal implant) is frequently used for posterior uveitis and recalcitrant macular edema.
Common indications include diabetic retinopathy and retinal vascular occlusions.
Intravitreal steroid implants are generally safe and effective for ocular conditions.

Purpose of the Study:

To report a rare case of accidental malpositioning of an Ozurdex implant.
To document the location of the malpositioned implant outside the intended ocular compartment.
To raise awareness of potential non-ocular complications associated with intravitreal procedures.

Main Methods:

A case report detailing the event of implant malpositioning.
Review of the clinical presentation and diagnostic findings.
Description of the implant's location in the patellar fossa.

Main Results:

The Ozurdex implant was unintentionally placed in the patellar fossa.
This represents an extremely rare extraocular misplacement of an intravitreal device.
The clinical implications and management of such an event were considered.

Conclusions:

Accidental malpositioning of intravitreal implants can occur, albeit rarely.
This case underscores the importance of meticulous surgical technique during intravitreal procedures.
Awareness of such potential complications is crucial for ophthalmologists using these devices.