Repositioning of inadvertent intralenticular ozurdex

Abstract

With increasing availability and acceptability of intravitreal injections for various pathologies, the number of patients undergoing intravitreal injections has grown exponentially, hence increasing the risk of accidental trauma to the crystalline lens. One of the gravest and rarest complications is the inadvertent intralenticular implantation of ozurdex implant, causing immediate cataract formation. As available resources in the developing countries are limited, aim of the cataract surgery should be to reposition the same implant in the vitreous cavity, through the preexisting posterior capsular dehiscence, and placing an intraocular lens to prevent anterior migration of the implant. Due to the presence of posterior capsular dehiscence, some amount of lens matter may drop into the vitreous and can invoke postoperative uveitis and raised intraocular pressures. We report such a rare case of accidental intralenticular injection of ozurdex implant, our unconventional surgical approach and the long-term follow-up.