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      Dexamethasone implant confined in Berger’s space

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          Abstract

          We reported a new complication after dexamethasone implant injection. The patient was treated by dexamethasone implant injection for diabetic macular edema. After injection, we report an implant stucked in Berger’s space behind the crystalline lens capsule in the visual axis. This situation resolved after cataract surgery and the implant moved to a less inconvenient localization.

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          Accidental injections of dexamethasone intravitreal implant (Ozurdex) into the crystalline lens.

          To describe the side effects and management after inadvertent injection of a dexamethasone implant (Ozurdex) into the crystalline lens.
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            Anterior chamber migration of dexamethasone intravitreal implant (Ozurdex®) through basal iridectomy (Ando) in a pseudophakic patient.

            Intravitreal implantation of dexamethasone implant (Ozurdex®) is being widely used for the treatment of macular edema (ME) after branch or central retinal vein occlusion, diabetic ME, and persistent ME associated with uveitis or Irvine-Gass syndrome. We describe a complication: migration of the dexamethasone implant into the anterior chamber through basal iridectomy (Ando) in a pseudophakic patient with development of corneal edema and secondary high intraocular pressure.
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              Pigment deposition on the central aspect of the posterior lens capsule in pigmentary dispersion.

              We describe a case of an increasing pigmentary plaque on the posterior surface of the lens during follow-up of a case of pigment dispersion syndrome and suggest that this is a new sign of pigment dispersion.
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                Author and article information

                Contributors
                p_dubrulle@hotmail.com
                franck.fajnkuchen@gmail.com
                lise.qu85@yahoo.fr
                +33148955218 , audreygiocanti@yahoo.fr
                Journal
                Springerplus
                Springerplus
                SpringerPlus
                Springer International Publishing (Cham )
                2193-1801
                13 October 2016
                13 October 2016
                2016
                : 5
                : 1
                : 1786
                Affiliations
                [1 ]Ophthalmology Department, DHU Vision and Handicaps, Avicenne Hospital, 125 Rue de Stalingrad, 93000 Bobigny, France
                [2 ]Centre d’imagerie et de Laser, 11 Rue Antoine Bourdelle, 75015 Paris, France
                Article
                3490
                10.1186/s40064-016-3490-9
                5063824
                27795928
                a4a24341-d212-4771-978c-b044180ba865
                © The Author(s) 2016

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

                History
                : 21 April 2016
                : 7 October 2016
                Funding
                Funded by: AVOPH
                Categories
                Case Study
                Custom metadata
                © The Author(s) 2016

                Uncategorized
                diabetic macular edema,ozurdex implant,treatment complications,cataract
                Uncategorized
                diabetic macular edema, ozurdex implant, treatment complications, cataract

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