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Unintentional injection of a dexamethasone implant into the crystalline lens: a case report.
Cervantes, Andrés Lisker; Crim, Nicolás; García-Arroyo, Santiago; Morales-Cantón, Virgilio; Montoya, Raúl Velez.
Afiliación
  • Cervantes AL; Retina Department, Asociación para Evitar la Ceguera en México, Hospital Dr. Luis Sanchez Bulnes, Mexico City, Mexico.
  • Crim N; Retina Department, Asociación para Evitar la Ceguera en México, Hospital Dr. Luis Sanchez Bulnes, Mexico City, Mexico.
  • García-Arroyo S; Cataract Department, Asociación para Evitar la Ceguera en México, Hospital Dr. Luis Sanchez Bulnes, Mexico City, Mexico.
  • Morales-Cantón V; Retina Department, Asociación para Evitar la Ceguera en México, Hospital Dr. Luis Sanchez Bulnes, Mexico City, Mexico.
  • Montoya RV; Retina Department, Asociación para Evitar la Ceguera en México, Hospital Dr. Luis Sanchez Bulnes, Mexico City, Mexico.
Arq Bras Oftalmol ; 83(3): 246-249, 2020 06.
Article en En | MEDLINE | ID: mdl-32490978
The intravitreal dexamethasone implant is a sustained-release anti-inflammatory drug system that releases 0.7 mg of dexamethasone into the vitreous cavity. The following case report describes a rare complication: accidental injection of the dexamethasone implant into the crystalline lens. A 73-year-old woman was diagnosed with central retina vein occlusion and cystoid macular edema. Initial tSreatment included three monthly intravitreal doses of anti-vascular endothelial growth factor treatment, which was not successful. Treatment was then modified to an intravitreal dexamethasone implant. Ten weeks later, the implant was observed in the posterior cortex of the crystalline lens. Because no improvement had occurred, the patient underwent phacoemulsification surgery, during which part of the lens migrated into the vitreous cavity. Therefore, 23-gauge pars plana complete vitrectomy was performed with trans-surgical administration of intravitreal aflibercept. Crystalline lens injury due to an intravitreal dexamethasone implant is a rare complication and typically results from the injection procedure. Immediate surgical or conservative approaches should be considered on an individual basis.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cristalino Límite: Aged / Female / Humans Idioma: En Revista: Arq Bras Oftalmol Año: 2020 Tipo del documento: Article País de afiliación: México Pais de publicación: Brasil
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cristalino Límite: Aged / Female / Humans Idioma: En Revista: Arq Bras Oftalmol Año: 2020 Tipo del documento: Article País de afiliación: México Pais de publicación: Brasil