Ozurdex® Implant Inside the Capsular Bag: A Report of a Rare Case

We report a rare case of an intravitreal dexamethasone implant (Ozurdex®) inadvertently located within the capsular bag following a uneventful cataract surgery. A 46-year-old female patient with a history of recalcitrant uveitis in the left eye presented with diminished vision in the right eye. She was diagnosed with a complicated cataract with 360° posterior synechiae. After manual small incision cataract surgery and intraocular lens implantation, the patient received an intravitreal Ozurdex implant to mitigate possible exacerbation of preexisting uveitis. Postoperatively, the implant was visualized within the capsular bag, confirmed by anterior segment optical coherence tomography. This rare event highlights an unusual complication of intravitreal Ozurdex injection and emphasizes the importance of technique and anatomical considerations during administration.

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Publication Details

Journal
Cureus
Published
2026-01-09
DOI
https://doi.org/10.7759/cureus.101142
Primary Topic
Intraocular Surgery and Lenses
Type
article
Field-Weighted Citation Impact
0.00
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article

Ozurdex® Implant Inside the Capsular Bag: A Report of a Rare Case

Priksha Lakhlan, Bharat R. Thoumungkan, Lalit Verma, Avnindra Gupta et al.
Cureus
Intraocular Surgery and Lenses
article

Ozurdex® Implant Inside the Capsular Bag: A Report of a Rare Case

Priksha Lakhlan, Bharat R. Thoumungkan, Lalit Verma, Avnindra Gupta, Bhanu Priya
article en

Abstract

We report a rare case of an intravitreal dexamethasone implant (Ozurdex®) inadvertently located within the capsular bag following a uneventful cataract surgery. A 46-year-old female patient with a history of recalcitrant uveitis in the left eye presented with diminished vision in the right eye. She was diagnosed with a complicated cataract with 360° posterior synechiae. After manual small incision cataract surgery and intraocular lens implantation, the patient received an intravitreal Ozurdex implant to mitigate possible exacerbation of preexisting uveitis. Postoperatively, the implant was visualized within the capsular bag, confirmed by anterior segment optical coherence tomography. This rare event highlights an unusual complication of intravitreal Ozurdex injection and emphasizes the importance of technique and anatomical considerations during administration.

CureusVol. 18(1)
Centre for Sight (IN)
Gender equality, Good health and well-being
Openalex Percentile: Top 93%
Intraocular Surgery and Lenses
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