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Adjunctive dexamethasone implant in patients with atopic dermatitis and retinal detachment undergoing vitrectomy and silicone oil tamponade: An interventional case series

BMC Ophthalmology Apr 06, 2019

Cho AR, et al. - In this retrospective, interventional case series, investigators studied the clinical course and consequences of adjunctive dexamethasone implants in candidates with atopic dermatitis (AD) and retinal detachment (RD) who underwent vitrectomy as well as silicone oil tamponade. They noted 6 pseudophakic eyes, 2 eyes with a history of prior vitreoretinal surgery, and 1 with uveitis, preoperatively. They observed an improvement in best-corrected visual acuity in 2 eyes, worsened in 1 and similar in 4 eyes, postoperatively. An incline in postoperative intraocular pressure in 6 eyes (requiring either medical or surgical treatment) was the major complication. They overall concluded injection of an intraoperative dexamethasone implant to silicone oil-filled eyes tolerable and effective in the surgical management of AD cases with RD and proliferative vitreoretinopathy (PVR).
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