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Spontaneous dislocation of a fluocinolone acetonide implant (Retisert) into the anterior chamber and its successful extraction in sympathetic ophthalmia.

TitleSpontaneous dislocation of a fluocinolone acetonide implant (Retisert) into the anterior chamber and its successful extraction in sympathetic ophthalmia.
Publication TypeJournal Article
Year of Publication2015
AuthorsAlmeida, David R. P., Chin Eric K., Mears Katrina, Russell Stephen R., and Mahajan Vinit B.
JournalRetin Cases Brief Rep
Volume9
Issue2
Pagination142-4
Date Published2015 Spring
ISSN1937-1578
KeywordsAnterior Chamber, Device Removal, Drug Implants, Fluocinolone Acetonide, Glucocorticoids, Humans, Male, Middle Aged, Ophthalmia, Sympathetic, Visual Acuity
Abstract

PURPOSE: To report a case of spontaneous fluocinolone acetonide (Retisert) implant dislocation and migration into the anterior chamber.

METHODS: Retrospective case report.

PATIENTS: One patient with sympathetic ophthalmia uveitis was well controlled by fluocinolone acetonide implants.

RESULTS: The fluocinolone acetonide implant spontaneously migrated into the anterior chamber causing corneal edema and anterior chamber reaction. The implant was subsequently successfully removed through a temporal corneal wound.

CONCLUSION: Clinicians should be aware of the spontaneous dislocation and migration of an intact fluocinolone implant as a potential surgical complication, particularly in pseudophakic eyes with iridectomy.

DOI10.1097/ICB.0000000000000119
Alternate JournalRetin Cases Brief Rep
PubMed ID25411930