Management of Anterior Chamber Dislocation of a Fluocinolone Acetonide Implant: A Case Report

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Author Info

Clara Monferrer Adsuara Lucía Mata-Moret Verónica Castro-Navarro Javier Montero-Hernández

Corresponding Author

Clara Monferrer Adsuara
Department of Ophthalmology, Consorcio Hospital General Universitario of Valencia, Valencia, Spain

A B S T R A C T

Background: Fluocinolone acetonide implant (ILUVIEN) is a non-biodegradable cylindrical polyimide tube that is injected into the vitreous cavity. Migration to the anterior chamber can potentially occur, especially in patients with posterior capsular defects and vitrectomized eyes, although it is considered an uncommon complication. The best surgical technique is still unknown. We describe a simple technique for reinserting the migrated ILUVIEN implant in the posterior cavity without compromising its integrity. Case Presentation: Under topical anaesthesia, a corneal clear beveled limbal incision is made with a 20G angled side port blade. Balanced saline solution is injected with a 27G anterior chamber cannula to mobilize the implant and a reverse sinskey hook is then used to push the implant to the vitreous cavity between the iris and the intraocular lens without the need of viscoelastic. Conclusion: We report a simple and quick technique for surgical repositioning an ILUVIEN implant that required minimal manipulation and resulted in minimal tissue disturbance without compromising implant integrity and effectiveness. It is important to be cautious while using ILUVIEN in patients with capsular defects, zonular weakness, and previous vitrectomy. We recommend using a reverse sinskey hook as a smaller entry incision can be made to maintain the sealing of the anterior chamber.

Article Info

Article Type

Case Report

Publication history

Received: Wed 19, Aug 2020
Accepted: Mon 31, Aug 2020
Published: Mon 07, Sep 2020

Copyright

© 2023 Clara Monferrer Adsuara. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2020.09.05