Dexamethasone 0.7 mg Implant for the Treatment of Recalcitrant Radiation Maculopathy after Proton Radiotherapy for Carcinoma of the Maxillary Sinus 

Authors

  • Justin B. Hellman Pritzker School of Medicine, University of Chicago, Chicago, IL, USA
  • Jose M Garcia-Gonzalez Department of Ophthalmology and Visual Science, University of Chicago, Chicago, Illinois, USA
  • Shawn Lewis Department of Ophthalmology and Visual Science, University of Chicago, Chicago, Illinois, USA
  • Seenu M. Hariprasad Department of Ophthalmology and Visual Science, University of Chicago, Chicago, Illinois, USA

DOI:

https://doi.org/10.12974/2309-6136.2014.02.01.7

Keywords:

Corticosteroids, cystoid macular edema, intravitreal implant, macular edema, Ozurdex, radiation retinopathy, steroids.

Abstract

Purpose: To report the efficacy of dexamethasone 0.7 mg intravitreal implant in recalcitrant radiation retinopathy. Method: Retrospective case report of a single case describing successful treatment of radiation retinopathy with dexamethasone 0.7 mg intravitreal implant following multiple failed attempts with both bevacizumab and focal laser. Results: After the first injection of 0.7 mg dexamethasone the best corrected visual acuity (BCVA) improved from 20/400 to 20/250 and central macular thickness (CMT) decreased. BCVA continued to improve after a second injection to 20/125 and remained stable through the third and fourth injection at 20/150, respectively. The intraocular pressure remained within normal limits. Conclusion: 0.7 mg dexamethasone implant showed benefit in a recalcitrant case of radiation retinopathy. 

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Published

2014-02-05

How to Cite

Hellman, J. B., Garcia-Gonzalez, J. M. ., Lewis, S., & Hariprasad, S. M. (2014). Dexamethasone 0.7 mg Implant for the Treatment of Recalcitrant Radiation Maculopathy after Proton Radiotherapy for Carcinoma of the Maxillary Sinus . Journal of Ocular Diseases and Therapeutics, 2(1), 30–35. https://doi.org/10.12974/2309-6136.2014.02.01.7

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