Mx of a dexamethasone implant in Berger space
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The intravitreal dexamethasone implant (Ozurdex) is a biodegradable implant that provides sustained-release delivery of 0.7 mg of dexamethasone to the retina and vitreous. The implant, which can be placed in the vitreous cavity through a pars plana puncture using a custom applicator system has been approved by the U.S. FDA for the treatment of macular edema following retinal vein occlusion and noninfectious posterior uveitis. The Berger space is the potential space between the posterior capsule and the anterior hyaloid. Various complications associated with the increased use of the dexamethasone implant have been reported. In this case, we report an approach to an implant that was in Berger space after implantation. We present a case in which a dexamethasone implant (Ozurdex) was situated in Berger space in contact with the crystalline lens after injection. Because of the development of cataract and visual complaints of the patient, cataract surgery was performed and the implant was pushed into the vitreous. We describe our approach to this complication.

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