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Jonathan L. Prenner, MD
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Six weeks after placing an Ozurdex implant in a patient with an anterior chamber IOL and multiple previous operations the implant migrated anteriorly and caused corneal decompensation. Jonathan L. Prenner, MD, attempted to remove the implant with forceps but is too granular to grasp and eventually falls back into the posterior chamber.
Posted: 5/07/2014
Jonathan L. Prenner, MD
Six weeks after placing an Ozurdex implant in a patient with an anterior chamber IOL and multiple previous operations the implant migrated anteriorly and caused corneal decompensation. Jonathan L. Prenner, MD, attempted to remove the implant with forceps but is too granular to grasp and eventually falls back into the posterior chamber.
Posted: 5/07/2014
![[2019] Amniotic Membrane Placement for Repair of Recurrent Macular Hole](https://d33x7gwyb2b5z6.cloudfront.net/eyetube/thumbs/gldaw.jpg?auto=compress,format&w=180)
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Just Now
Prashant Bhatia
11 years ago
Would probably have tried viscoat/maybe a sheets glide and a forceps through a larger incision or viscoexpression.....after having watched this video that is!! in retrospect everyone is probably as smart as Einstein!
Royce Chen
11 years ago
I was thinking in this case that the phacofrag might have been effective - may try that if I run into this problem in the future. Thanks for sharing.
Jonathan Prenner
11 years ago
Thanks...I have used the cutter and tried it with this one as well but it was too stiff to cut effectively. I like RanChump62's idea and should have done that to start...but who knew! Next time!!
Nicholas Mayfield
11 years ago
Watching this video made me angry at the elusive implant! Dr. Prenner, have you ever removed an Ozurdex implant that has been in the eye for the same duration as the one in this video with the vitreous cutter? I have removed one or two that were "older" than the one presented here, and the cutter worked quite well, but I wonder if it would have worked with a "newer" implant. I appreciate any insight you have.
ari weitzner
11 years ago
im kinda surprised you used an ac infusion instead of viscoat-that would have most likely prevented it from falling down. also, i wouldve made a 2.65 phaco incision once i noticed it was hard to remove through para. lol! of course i know all this in hindsight! anyway thanks for sharing your not-so-flattering video--we regular surgeons appreciate it!