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Scientific article
English

Intravitreal dexamethasone implant (Ozurdex®) for exudative retinal detachment after proton beam therapy for choroidal melanoma

Published inEuropean Journal of Ophthalmology, vol. 27, no. 5, p. 596-600
Publication date2017
Abstract

Purpose: To evaluate the efficacy and safety of intravitreal 0.7-mg dexamethasone implant (DEX-I) (Ozurdex (R)) in the treatment of extensive exudative retinal detachment (RD) associated with uveal melanoma treated using proton beam therapy (PBT). Methods: Data from 10 patients with exudative RD after PBT treated with intravitreal injection of 0.7-mg DEX-I were reviewed retrospectively. The main outcome measures were resolution of exudative RD, visual acuity, and safety profile. Results: Mean age was 55.6 years (range 34-85). Mean time between PBT and DEX-I was 12.4 months (range 3-25). Mean follow-up was 9.9 months (range 4-15). Intravitreal Ozurdex (R) reduced exudative RD in 7 cases (70%) on average 3.1 months after injection with complete resolution of RD in 6 of these (60%). For half of the patients, their level of vision remained stable; the other half experienced a deterioration in visual acuity at the end of follow-up. No adverse effects were observed. Conclusions: In this small case series, treatment with intravitreal DEX-I reduced exudative RD in the majority of cases and had an acceptable safety profile.

Keywords
  • Choroidal melanoma
  • Dexamethasone intravitreal implant
  • Exudative retinal detachment
  • Ozurdex
  • Proton beam therapy
  • Radiation-induced adverse effects
Affiliation Not a UNIGE publication
Citation (ISO format)
MALCLES, Ariane et al. Intravitreal dexamethasone implant (Ozurdex®) for exudative retinal detachment after proton beam therapy for choroidal melanoma. In: European Journal of Ophthalmology, 2017, vol. 27, n° 5, p. 596–600. doi: 10.5301/ejo.5000940
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ISSN of the journal1120-6721
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