DR AVADHESH OLI

DR. (COL) SHRIKANT WAIKAR, DR.DATTAKIRAN JOSHI, PROF.DR. PRADEEP KUMAR

Abstract

We present a case of nomadic Ozurdex in the anterior chamber managed conservatively.

A 55-year-old lady had reduced vision in RE for 1 wk. She had received Ozurdex 1 month back elsewhere. At presentation, her vision was 3/60. She had striate keratopathy with Ozurdex implant in AC. The glued IOL was in situ. Explanation of Ozurdex was the obvious option to manage the case but a trial to reposit the implant in the vitreous cavity was attempted with head manoeuvring. The implant successfully migrated behind the IOL and pupil was constricted with Pilocarpine to trap it in the vitreous cavity. Eye drop Ripasudil was started for corneal edema along with Hypersol and pilocarpine drops. The corneal edema initially worsened but slowly it started clearing at one month.

This case highlights use of nonsurgical methods to reposition the Ozurdex without sacrificing the implant to achieve the optimal outcome. Ozurdex should not be used in cases where zonular iris diaphragm is absent.