Dexamethasone Intravitreal Implant – Ozurdex – for Chronic Macula edema
Hello this is john kennel up with snow medical director laser vision institute or nothings crease and clinton birth is what module my new medical school in new york city we’re seeing here at chronic macular oedema patient you can see here the dramatic deterioration of the macular edema on this patient has received numerous anti-vegf injections both elastin and
Lucentis and the point has come in for us to try the dexamethasone intra ocular implant interpreter implant acidic 0.7 nam milligrams we’re using as you can see here a sterile technique painting the lashes eyelids with betadine this is the osmotics insertion cartridge you can see we’re pulling out the cover of the needle the newer version has a smaller meter and
Here we’re taking out the lock turning of the device you can clearly see the unlocking the device so from now on we have to be very careful with the punch button you can see it very nicely we’re going in with after draping the eyelids with teddy bear amok stickers to put in lit speculum you can see this patient is pseudo faking from the chronic inflammation he
Developed cataracts at least 57 years old and this is all immaculate fortunately we’re going to go back again to show you one more time the unlocking of the device we’re taking out the cover for the needle and this is the actual beveled needle and this is the lock or you know unlock the asura dick insert insertion device and now we’re ready to go i’m gonna turn
Back into our operating microscope and we’re measuring here three-and-a-half millimeters from olympus with calibers for me the surgical use or comfortable severely as you can see we’re inserting bevel up at the three-and-a-half millimeter mark we’re gonna try and go sideways through conch stretch the conch go sideways into the sclera for about a millimeter and then
Direct vertically and until the hip of the cover for the needle and then orient towards the center of the eye so as you can see here the insertion module is oriented directly into the center of the eye and now i’m going to reach over lift my index finger and push the injection punch the capsule is injected in the literature cavity and now i’m pulling out same way
I came in the insertion needle i’m going to show you an external view of the same exact maneuver here i’m positioning the device punching in and now pulling out and with a cotton swab pertaining the small hemorrhage here you can see a dramatic improvement the month later before is in the bottom after the top you’ll see the monitor a membrane that this fishing has
And again here the dramatic improvement with laser dicks will give him relief for this thirdly six months i hope you found this presentation interesting this is john cale off the same life thank you
Transcribed from video
Dexamethasone Intravitreal Implant Ozurdex implantation, by A. John Kanellopoulos, MD By LaserVision Ambulatory Eye Surgery Unit Greece
