계명대학교 의학도서관 Repository

Difference in the efficacy of intravitreal dexamethasone implant before and after silicone oil removal: A case report

Metadata Downloads
Author(s)
An, Jae HongKim, Yu Cheol
Keimyung Author(s)
Kim, Yu Cheol
Department
Dept. of Ophthalmology (안과학)
Journal Title
Medicine (Baltimore)
Issued Date
2021
Volume
100
Issue
11
Keyword
dexamethasoneefficacyintravitreal implantmacular edemasilicone oil
Abstract
Rationale:
An intravitreal dexamethasone (IV-DEX) implant is safe and effective for the treatment of macular edemas; however, the efficacy of IV-DEX implants in silicone oil (SO)-filled eyes remains controversial. There is no previous study comparing an IV-DEX implant in the same eye with and without intravitreal SO.

Patient concerns:
A 72-year-old man with proliferative diabetic retinopathy, macular edema, and rhegmatogenous retinal detachment, treated with pars plana vitrectomy with SO tamponade had refractory macular edema.

Diagnosis:
Refractory macular edema.

Intervention:
Subtenon triamcinolone injection, intravitreal anti-vascular endothelial growth factor injection, and IV-DEX implantation were performed; this was followed by intravitreal SO removal combined with IV-DEX implantation.

Outcomes:
The macular edema did not decrease significantly with posterior subtenon triamcinolone injection, intravitreal anti-vascular endothelial growth factor injection, and IV-DEX implantation; however, the edema was relieved after SO removal and a new IV-DEX implantation.

Lessons:
IV-DEX implant may be less efficacious in the treatment of macular edema in an SO-filled eye than that in a normal vitreous cavity.
Keimyung Author(s)(Kor)
김유철
Publisher
School of Medicine (의과대학)
Citation
An, Jae Hong and Kim, Yu Cheol. (2021). Difference in the efficacy of intravitreal dexamethasone implant before and after silicone oil removal: A case report. Medicine (Baltimore), 100(11), e25161. doi: 10.1097/MD.0000000000025161
Type
Article
ISSN
1536-5964
Source
https://journals.lww.com/md-journal/Fulltext/2021/03190/Difference_in_the_efficacy_of_intravitreal.82.aspx
DOI
10.1097/MD.0000000000025161
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43737
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Ophthalmology (안과학)
공개 및 라이선스
  • 공개 구분공개
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.