Spontaneous dislocation of a fluocinolone acetonide implant (Retisert) into the anterior chamber and its successful extraction in sympathetic ophthalmia

Retin Cases Brief Rep. 2015 Spring;9(2):142-4. doi: 10.1097/ICB.0000000000000119.

Abstract

Purpose: To report a case of spontaneous fluocinolone acetonide (Retisert) implant dislocation and migration into the anterior chamber.

Methods: Retrospective case report.

Patients: One patient with sympathetic ophthalmia uveitis was well controlled by fluocinolone acetonide implants.

Results: The fluocinolone acetonide implant spontaneously migrated into the anterior chamber causing corneal edema and anterior chamber reaction. The implant was subsequently successfully removed through a temporal corneal wound.

Conclusion: Clinicians should be aware of the spontaneous dislocation and migration of an intact fluocinolone implant as a potential surgical complication, particularly in pseudophakic eyes with iridectomy.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anterior Chamber / surgery*
  • Device Removal / methods*
  • Drug Implants / adverse effects*
  • Fluocinolone Acetonide / administration & dosage*
  • Glucocorticoids / administration & dosage
  • Humans
  • Male
  • Middle Aged
  • Ophthalmia, Sympathetic / drug therapy*
  • Visual Acuity

Substances

  • Drug Implants
  • Glucocorticoids
  • Fluocinolone Acetonide