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¹Yrd. Doç. Dr., Erciyes Üniversitesi, Göz Hastalıkları, Kayseri, Türkiye
²Prof. Dr., Erciyes Üniversitesi, Göz Hastalıkları, Kayseri, Türkiye Inadvertent intra-lenticular injection is a rare complication of dexamethasone implant injection. Herein clinical management of two inadvertently intra-lenticular injected dexamethasone implant cases are described. Two patients, one with diabetic macular edema and the other with branch retinal vein occlusion had admitted to our clinic with the complaint of a decrease in visual acuity following intravitreal dexamethasone implant injection. Visual acuities were at the level of 0.05 and counting fi ngers at 1 meter respectively. The implants were localized in the posterior epinucleus of the lens along with cataract. Removal of the cataracts with preservation of the dexamethasone implants was decided. The cataracts were removed with phacoemulsifi cation; intra-lenticular dexamethasone implants were successfully repositioned into the vitreous cavity through the defects in the posterior capsules. The decrease in foveal thickness was continued in one of the cases but macular edema recurred in the other. With proper management, it is possible to remove the cataract and preserve the implant in this rare complication of dexamethasone implant use. Keywords : Dexamethasone, intralenticular, implant, ozurdex, inadvertent injection