AOR
Archives of Ophthalmological Research

The Archives of Ophthalmological Research aims to publish issues related to publish articles of the highest scientific and clinical value at an international level, and accepts articles on these topics. The target audience of the journal included specialists and physicians working in ophthalmology, and other health professionals interested in these fields.

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Original Article
Dexamethasone implantation causing iatrogenic lens injury: a review of literature with case series
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Abstract
Aims: In this study, three cases of iatrogenic lens injuries during Dexamethasone (DXM) implantation will be discussed and current approaches will be reviewed with the literature.
Methods: Three patients with iatrogenic lens injury during DXM implantation were evaluated retrospectively.
Results: The three patients underwent DXM implantation for cystoid macular edema with central retinal vein occlusion and one patient for EALES disease. The surgical intervention was performed in all three patients in conjunction with cataract surgery. Intraocular lens implanted into the sulcus in all patients. The DXM could be directed to the vitreous in two patients with intact anterior hyaloid, while the other patient underwent anterior vitrectomy and DXM explanation. Anti-vascular endothelial growth factor was injected in the patient who could not implant DXM. The lens was stable in all patients in postoperative controls. There was a decrease in macular thickness at follow-up.
Conclusion: Dexamethasone implant is a slow-release tablet for macular edema due to retinal vein occlusion, diabetic retinopathy and non-infectious uveitis. Lens injury during dexamethasone implantation is a rare complication. In our series, the implant occluded the visual axis and most of it was in the lens, managed with cataract surgery. If possible, DXM should be directed to the vitreous, if not, treatment modalities should be specificized on a patient-by-patient basis.

Keywords : Dexametasone implantation, Iatrogenic lens injury, iatrogenic cataract

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Article available in :
Volume 1, Issue 4, 2024
Page : 56-59
https://doi.org/10.51271/AOR-0016
Article Information
Received : 25 Ağu 2024
Accepted : 06 Eyl 2024
Published : 23 Eki 2024
Corresponding Author :

Murat Erdağ: Department of Ophthalmology, Faculty of Medicine, Fırat University, Elazığ, Turkiye

[email protected]
Citation : Dal A, Erdağ M, Canleblebici M, Balbaba M, Yıldırım H. Dexamethasone implantation causing iatrogenic lens injury: a review of literature with case series. Arch Ophthalmol Res. 2024;1(4):56-59.

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