Misdirected ozurdex implant.

Ozurdex is one of the most commonly inserted intravitreal steroid implants in cases of posterior uveitis and recalcitrant macular edema in cases of diabetic retinopathy and vascular occlusions. Here we report accidental malpositioning of this implant in patellar fossa. Copyright:

A 6-year-old female, known case of juvenile idiopathic arthritis, was injected intravitreally with Ozurdex (Allergan, Irvine, CA, USA) for chronic panuveitis in the left eye which got accidentally placed anteriorly and got trapped in the anterior hyaloid face indenting the posterior capsule of the crystalline lens [Figure 1]. The eye was treated with lens sparing pars plana vitrectomy with oil insertion for developing retinal detachment and Ozurdex was explanted. Misdirected implants are rare accidental complications during intravitreal injections.[12345] Decision must be taken immediately whether to intervene to prevent vision loss due to complications.

Figure 1

Slit lamp photograph of the left eye showing anteriorly placed dexamethasone implant with inferotemporal part trapped between posterior capsule and anterior hyaloid

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