Retina-Vitreous
2019 , Vol 28 , Num 1
Failure of Intravitreal Dexamethasone Implant Application
1Asist. Dr., Abant İzzet Baysal Üniversitesi, Tıp Fakültesi, Göz Hastalıkları ABD, Bolu, Türkiye2Doç. Dr., Abant İzzet Baysal Üniversitesi, Tıp Fakültesi, Göz Hastalıkları ABD, Bolu, Türkiye Intravitreal dexamethasone implantation (IVDI) is indicated for the indication of retinal venous occlusion, diabetic maculopathy and macular edema due to posterior uveitis. A 65-year-old male patient who developed bilateral diabetic macular edema and had limited response to intravitreal anti-vascular endothelial growth factor injection bilaterally was planned to undergo bilateral IVDI. IVDI was performed without any complication in the right eye but IVDI could not be performed in the left eye due to failure of full-scleral access with the implant applicator during the left eye IVDI application. When the applicator was checked after unsuccessful application, it was determined that the implant partially spilled slightly from the conical part of the applicator needle. Controlling applicator needle and implant position prior to IVDI application is important for application success. Keywords : Anti-vascular endothelial growth factor, diabetic macular edema, dexamethasone implant