dc.contributor.author | Rivera Pérez de Rada, Pablo | |
dc.contributor.author | Fernández Avellaneda, Pedro | |
dc.contributor.author | Barturen Herraiz, Lucia Teresa | |
dc.contributor.author | Henares Fernández, Iker | |
dc.contributor.author | Ispizua Mendivil, Estibaliz | |
dc.contributor.author | Castellanos Relloso, María Ángeles | |
dc.contributor.author | Hidalgo Santamaría, Javier | |
dc.contributor.author | Grijalvo López, Jesús Alfonso | |
dc.date.accessioned | 2020-04-28T16:49:46Z | |
dc.date.available | 2020-04-28T16:49:46Z | |
dc.date.issued | 2020-02-27 | |
dc.identifier.citation | German Medical Science Ophthalmology Cases 20 : (2020) // Article ID Doc05 | es_ES |
dc.identifier.issn | 2193-1496 | |
dc.identifier.uri | http://hdl.handle.net/10810/42937 | |
dc.description.abstract | Introduction: The migration of a dexamethasone implant to the anterior chamber is a vision-threatening complication which can happen in non-compartmentalized eyes treated with this device. Previous literature suggests that the solution to this complication is almost always surgical and in most cases cannot be delayed. Case description: We present the case of a 78-year-old woman with a scleral-fixated IOL and macular edema treated with Ozurdex. She came to us complaining of blurred vision and was subsequently diagnosed with an anterior-chamber migration of her dexamethasone implant. Postural manoeuvres were performed until the dexamethasone implant returned to the vitreous cavity through the pupil. Pilocarpine drops were prescribed with a positive outcome and no further migrations were described. Discussion: This case shows a practical and efficient way of managing a potentially vision-threatening complication without placing the patient onto an operating table. It is interesting to see how it is possible to relocate a dexamethasone implant despite the presence of a scleral-fixated IOL. Conclusion: Postural manoeuvres are an interesting option in patients with a dexamethasone implant migrated to the anterior chamber. This approach can have very positive outcomes, in addition to avoiding surgery, with all the risks and complications involved. | es_ES |
dc.language.iso | eng | es_ES |
dc.publisher | GMS | es_ES |
dc.rights | info:eu-repo/semantics/openAccess | es_ES |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es/ | * |
dc.subject | dexamethasone | es_ES |
dc.subject | macular edema | es_ES |
dc.subject | pupil | es_ES |
dc.subject | anterior chamber | es_ES |
dc.subject | ophthalmology | es_ES |
dc.subject | Basurto piilocarpine | es_ES |
dc.subject | intravitreal injections | es_ES |
dc.subject | corneal endothelium | es_ES |
dc.subject | posterior eye segment | es_ES |
dc.subject | hospital emergency service | es_ES |
dc.title | Hole-in-one: simple non-surgical technique for the management of anterior chamber migrated Ozurdex implant | es_ES |
dc.type | info:eu-repo/semantics/article | es_ES |
dc.rights.holder | This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. (CC BY 4.0) | es_ES |
dc.rights.holder | Atribución 3.0 España | * |
dc.relation.publisherversion | https://www.egms.de/static/en/journals/oc/2020-10/oc000132.shtml | es_ES |
dc.identifier.doi | 10.3205/oc000132 | |
dc.departamentoes | Medicina | es_ES |
dc.departamentoeu | Medikuntza | es_ES |