Combined surgical technique: phacoemulsification and retrolental implantation of dexamethasone implant ‘Ozurdex' — our experience

Session Details

Session Title: Cataract Surgery & Retinal Complications

Session Date/Time: Tuesday 25/09/2018 | 16:30-18:00

Paper Time: 17:14

Venue: Room A3, Podium 1

First Author: : V.Melnyk UKRAINE

Co Author(s): :                        

Abstract Details

Purpose:

Intravitreal injection of prolonged dexamethasone implant “Ozurdex” is well-known method of treatment some diseases of the posterior segment of the eye. But there are some disadvantages in this method. First of all, there is cataract development and injury of ocular wall. Often diseases of the posterior segment of the eye can be together with complicated cataract. The aim of our work is to assess possibility and safety of combined surgical technique – phacoemulsification with “Ozurdex” implantation.

Setting:

22 patients (30 eyes) have been operated in Clinic “Visiobood-Plus”, Kyiv, Ukraine by one surgeon.

Methods:

22 patients (30 eyes) have been operated in Clinic “Visiobood-Plus”, Kyiv, Ukraine by one surgeon. Diagnosis: Complicated cataract and retinal disease (diabetic macular oedema, retinal vein occlusion, chronicle uveitis). Surgical technique: 1st step – standard phacoemulsification; 2nd step – posterior capsulorhexis; 3rd step – implantation of “Ozurdex” into the retrolental space through posterior capsulorhexis with keeping of hyaloid membrane undamaged. Effectiveness and safety of this procedure we assessed in the early postoperative period; macular zone we examined by OCT and fluorescein angiography in one, three and six months.

Results:

There were no complications in intra and postoperative period. Position of the implant “Ozurdex” was correct in the down part of the retrolental space. Implant didn’t interrupt to the vision. In one case we had got opacity of the anterior part of vitreous in the first month, but it had gone without any treatment. Visual acuity of all patients before operation was less then 2/10. After operation visual acuity increased, in the first month it was from 1/10 to 16/20. All results of the retinal thickness are not worse, than if the implantation of “Ozurdex” is through the sclera.

Conclusions:

Combined phacoemulsification with “Ozurdex” implantation is safe and effective procedure, which allows increasing vision of patients, decreasing retinal thickness and preventing complications, caused by ocular wall injury. Operating technique allows performing implantation with minimal traumatic effect.

Financial Disclosure:

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