“Magic Bullet”: Eccentric Macular Hole as a Complication from Dexamethasone Implant Insertion
Joint Authors
Olson, Jeffrey L.
Christensen, Logan
Sanders, Riley
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-10-05
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Introduction.
Intravitreal drug injections and implants are generally safe but do carry some risk, from both the procedure itself and adverse effects of the medications.
We report a case of an eccentric macular hole after dexamethasone implant (Ozurdex®) administration.
Ex vitro force testing was performed to evaluate dexamethasone implant injection force.
Methods.
Five dexamethasone implant (Ozurdex) applicators were placed 16 mm from a force plate and the force of the injected dexamethasone pellet was recorded in Newtons.
Four dexamethasone implant applicators were placed 16 mm from a force plate in a basic saline solution and the force of the pellet was recorded.
Results.
Average maximum force in air was 0.77 N and 0.024 N in a basic saline solution (BSS).
Conclusion.
We present a case report of an eccentric macular hole after dexamethasone implant administration.
We hypothesize a mechanical injury to the retina during insertion caused the macular hole.
Force testing done in air demonstrated sufficient force from the pellet injection to cause retinal damage though injections done in BSS showed reduced forces.
American Psychological Association (APA)
Christensen, Logan& Sanders, Riley& Olson, Jeffrey L.. 2016. “Magic Bullet”: Eccentric Macular Hole as a Complication from Dexamethasone Implant Insertion. Case Reports in Ophthalmological Medicine،Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1101780
Modern Language Association (MLA)
Christensen, Logan…[et al.]. “Magic Bullet”: Eccentric Macular Hole as a Complication from Dexamethasone Implant Insertion. Case Reports in Ophthalmological Medicine No. 2016 (2016), pp.1-3.
https://search.emarefa.net/detail/BIM-1101780
American Medical Association (AMA)
Christensen, Logan& Sanders, Riley& Olson, Jeffrey L.. “Magic Bullet”: Eccentric Macular Hole as a Complication from Dexamethasone Implant Insertion. Case Reports in Ophthalmological Medicine. 2016. Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1101780
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101780