INJECTABLE INTRAVITREAL FLUOCINOLONE ACETONIDE IMPLANT FOR CHRONIC POSTOPERATIVE CYSTOID MACULAR EDEMA IN THE...

This report describes the use of the injectable intravitreal fluocinolone acetonide implant (FAI) 0.18 mg for chronic postoperative cystoid macular edema in an eye with a silicone oil-filled vitreous cavity.

A retrospective chart review was performed including surgical, clinical, and imaging data.

The patient had multiple complicated vitreoretinal surgical procedures including long-term silicone oil tamponade. The eye developed chronic cystoid macular edema, which responded to intravitreal steroid therapies and subsequently received FAI for long-term control. The eye had no complications related to FAI.

FAI is a long-acting steroid that may be beneficial in controlling chronic cystoid macular edema. It can be considered for use in eyes with silicone oil tamponade, but further studies are required to better understand the pharmacokinetics and utility of the FAI when injected into silicone oil-filled vitreous cavities.