Open AccessPars plana vitrectomy and re-directing a dexamethasone implant into vitreous cavity following misdirected entry into the crystalline lens
Author(s) -
Partha Biswas,
Krishnendu Nandi,
Sneha Batra,
Aniket Ginodia,
Preeyam Biswas
Publication year - 2018
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_1179_17
Subject(s) - vitrectomy , medicine , pars plana , phacoemulsification , ophthalmology , dexamethasone , implant , diabetic retinopathy , intraocular lens , lens (geology) , surgery , visual acuity , diabetes mellitus , optics , physics , endocrinology
A known diabetic patient presented with diabetic macular edema (DME) and nonproliferative diabetic retinopathy in both eyes with a vision of 6/18, N 12 in the right eye and 4/60, N 36 in the left eye (LE). The patient had undergone injection of dexamethasone implant in the LE which got misdirected into the crystalline lens. The patient was taken up for phacoemulsification with intraocular lens implantation along with vitrectomy and posterior vitreous detachment induction, and redirection of the dexamethasone implant into the vitreous cavity. The DME resolved over the next 3 months.