Dexamethasone intravitreal implant for macular edema and some other rare indications in uveitis

نویسندگان

چکیده

In the present study, 110 eyes of 81 patients with uveitis who underwent intravitreal dexamethasone implant (IDI) injection and had a follow‑up at least 6 months between January, 2012 September, 2022, were retrospectively analyzed. A total 298 IDI injections administered (mean, 2.71±2.37; range, 1‑12). The mean age was 49.44±16.67 years (range, 15‑86 years). time after first 34.31±26.53 6‑115 months). total, 77 (95.1%) non‑infectious uveitis, while 4 (4.9%) received for uveitic macular edema in association infectious (1 patient acute retinal necrosis 3 systemic tuberculosis). injected under umbrella ganciclovir healed associated pseudophakic cystoid edema. (7.4%) prior to phacoemulsification surgery control possible post‑operative addition, (3.7%) Vogt‑Koyanagi‑Harada disease bilateral as therapy could not be due side‑effects treatment. 1 (1.2%) idiopathic vasculitis, aneurysms neuroretinitis treated both addition reduce ongoing inflammation. Of note, two (1.8%) simultaneous single anti‑vascular endothelial growth factor administration treatment unilateral extrafoveal neovascularization (one active serpiginous choroiditis one sympathetic ophthalmia). 68 (83.9%). Best‑corrected visual acuity improved from 0.69±0.64 0.60±0.76 logMAR final visit (P=0.008). Baseline central thickness (CMT) 499.74±229.60 µm 187‑1,187 µm) CMT 296.60±152.02 126‑848 µm). Intraocular pressure elevation requiring topical antiglaucomatous eye drops occurred 28 (25.5%). During period, glaucoma required 25 65 phakic (38.4%) phacoemulsification. Retinal detachment (0.9%), endophthalmitis transient hemorrhage three (2.7%) injections. On whole, study demonstrates that although is mostly employed edema, it can also cases intolerance, prophylaxis, great caution, selected involving

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Bilateral Intravitreal Dexamethasone Implant for Retinitis Pigmentosa-Related Macular Edema

PURPOSE To report the efficacy of intravitreal dexamethasone implant in a patient with retinitis pigmentosa and bilateral cystoid macular edema unresponsive to topical carbonic anhydrase inhibitors. CASE REPORT A 36-year-old man with bilateral cystoid macular edema associated with retinitis pigmentosa that was unresponsive to topical carbonic anhydrase inhibitors underwent bilateral 0.7-mg in...

متن کامل

Dexamethasone intravitreal implant in the treatment of diabetic macular edema

Diabetic macular edema (DME) resembles a chronic, low-grade inflammatory reaction, and is characterized by blood-retinal barrier (BRB) breakdown and retinal capillary leakage. Corticosteroids are of therapeutic benefit because of their anti-inflammatory, antiangiogenic, and BRB-stabilizing properties. Delivery modes include periocular and intravitreal (via pars plana) injection. To offset the s...

متن کامل

Intravitreal dexamethasone implants for diabetic macular edema.

AIM To evaluate the safety and efficacy of a dexamethasone (DEX) intravitreal implant for diabetic macular edema (DME). METHODS Totally 113 eyes of 84 patients were divided in three subgroups: naive patients (n=11), pseudophakic patients (n=72) and phakic patients (n=30). Inclusive criterion comprised adult diabetic patients with central fovea thickening and impaired visual acuity resulting f...

متن کامل

simultaneous therapy with intravitreal dexamethasone implant and bevacizumab for the treatment of macular edema

to investigate the safety profile and benefits of a short-term simultaneous treat-ment combining two drugs: an intravitreal implant of dexamethasone with an intravitreal in-jection of bevacizumab in patients with macular edema, this study was performed. this was a retrospective, non-randomized, open-label case series study.  patients were treat-ed between april 2014 and july 2015 and were diagn...

متن کامل

Simultaneous Therapy with Intravitreal Dexamethasone Implant and Bevacizumab for the Treatment of Macular Edema

To investigate the safety profile and benefits of a short-term simultaneous treatment regimen combining two drugs-an intravitreal implant of dexamethasone with an intravitreal injection of bevacizumab-in patients with macular edema. This was a retrospective, non-randomized, open-label case series study. Patients were treated between April 2014 and July 2015 and were diagnosed with recurrent mac...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: Medicine international

سال: 2023

ISSN: ['2754-3242', '2754-1304']

DOI: https://doi.org/10.3892/mi.2023.99