Anterior migration of intravitreal fluocinolone acetonide (Iluvien®) implant in a pseudophakic eye with intact posterior capsule.

Purpose: To describe a case of spontaneous anterior migration of intravitreal fluocinolone acetonide (Iluvien®) implant in a pseudophakic eye with intact posterior capsule.

Observation: A 60-year old woman with proliferative diabetic retinopathy underwent uneventful pars plana vitrectomy and phacoemulsification with posterior chamber intraocular lens (PCIOL) implants in both eyes. She developed diabetic macular edema (DME) in her right eye which failed to respond to repeated intravitreal injections of Aflibercept 2mg/0.

Capsular phimosis following phacotrabeculectomy.

Three cases of severe capsular phimosis following augmented phacotrabeculectomy complicated by intense postoperative fibrinous uveitis are described. The marked inflammation was possibly related to the combined procedure itself, the excessive intraoperative manipulation to stretch the pupil, and the compromised blood-aqueous barrier after prolonged use of pilocarpine. The combination of fibrinous uveitis and the small size of capsulorhexis attained through a stretched pupil are possible risk factors for developing severe capsular phimosis in the absence of zonular weakness or preoperative uveitis.

Iris prolapse in small incision cataract surgery.

Iris prolapse is a rare complication after small incision cataract surgery. We looked at the possible operative and perioperative factors that might have contributed to this complication in 2 of our patients and in another 10 patients identified through a national questionnaire survey. The details of 12 cases of iris prolapse following small incision cataract surgery are presented.

Foreign body reaction with delayed extrusion of ganciclovir implant in a patient with immune recovery vitritis syndrome.

Purpose: To report a case of delayed extrusion of primary ganciclovir implants in a patient with immune recovery vitritis syndrome.

Method: Interventional case report. A 54-year-old HIV positive male patient with immune recovery vitritis syndrome had spontaneous extrusion of bilateral ganciclovir devices 4 years after primary implantation.