September 2026 - 2
Pre-Ozurdex: VA 6/60
Author: Dr Brighu Swamy
An 89-year-old man with cystoid macular oedema in his left eye received an Ozurdex (dexamethasone) implant. His intraretinal fluid resolved completely.
After one dose of Ozurdex: VA 6/24
Three weeks later: presented with reduced vision to counting fingers (CF)
What is the diagnosis?
A - Subacute endophthalmitis with hypopyon
Oops! Try again
B - Migration of the Ozurdex implant into the anterior chamber
CORRECT!
C - Ocular cysticercosis
Oops! Try again
Answer B
Migration of the Ozurdex implant into the anterior chamber
This is an unusual complication. Ozurdex implants can migrate into the anterior chamber in eyes with loose zonules or a large peripheral iridotomy, and can cause corneal decompensation. Treatment is urgent removal of the implant.
In this patient, the cornea improved over three months. He now receives intravitreal Triesence (triamcinolone) to treat his postoperative macular oedema.
