Fluocinolone acetonide implant scleral fixation for cystoid macular edema in eyes with iris–lens diaphragm disruption

Author:

Basto Rita Costa1,Francisco Catarina1,Silva Alexandre Reis1,Viana Ana Rita1,Barbosa Renato Correia1,Teixeira Sofia1,Ferreira Catarina Cunha2,Madeira Carolina2,Carvalho Rui1,Teixeira Carla1,Tenedório Paula1

Affiliation:

1. Department of Ophthalmology, Pedro Hispano Hospital, Matosinhos, Portugal

2. Department of Ophthalmology, Vila Nova de Gaia/ Espinho Hospital, Vila Nova de Gaia, Portugal

Abstract

Abstract This is a two-center, case series of three patients with postoperative refractory cystoid macular edema (CME) and disruption of the iris–lens diaphragm, submitted to scleral fixation of fluocinolone acetonide implant. All patients achieved successful CME reduction with visual acuity improvement. The surgical procedure was uneventful in all cases; however, one patient developed hypotony with leakage from the scleral tunnel, which was successfully resolved with reinforcement of the suture and injection of viscoelastics in the anterior chamber. No case of implant migration was observed and patients did not report any visual field disturbances. Our results emphasize this surgical technique as an effective and safe procedure for patients with persistent CME and disruption of the iris–lens diaphragm.

Publisher

Medknow

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