Open AccessScleral Fixation of the Fluocinolone Acetonide Implant in Eyes with Severe Iris–Lens Diaphragm Disruption and Recalcitrant CME: The Fluocinolone-Loop-Anchoring Technique (FLAT)
Author(s) -
Tina Herold,
Raffael Liegl,
Susanna Koenig,
Ahmed Almarzooqi,
Siegfried Priglinger,
Armin Wolf
Publication year - 2020
Publication title -
ophthalmology and therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.189
H-Index - 17
eISSN - 2193-6528
pISSN - 2193-8245
DOI - 10.1007/s40123-020-00232-2
Subject(s) - fluocinolone acetonide , medicine , implant , ophthalmology , fixation (population genetics) , sclera , macular edema , glaucoma , surgery , retinal , population , environmental health
While proven to be an effective treatment for cystoid macular edema (CME) and diabetic macular edema, intravitreal steroid implants (IVSI) may cause undesirable side effects, including steroid-related glaucoma or migration into the anterior chamber in the case of iris-lens diaphragm disruption. Here we present a new surgical technique that allows for the easy implantation and subsequent fixation of the fluocinolone acetonide intravitreal implant without the risk of migration as a feasible and possibly reversible approach in the treatment of persistent CME in severely damaged eyes.