December 2002
Volume 43, Issue 13
ARVO Annual Meeting Abstract  |   December 2002
Surgical Management of Posteriorly Dislocated Ganciclovir Implants
Author Affiliations & Notes
  • SC Patel
    Ophthalmology Univ of California Irvine Irvine CA
  • RA P deCarvalho
    Ophthalmology Universidade de Sao Paulo Brazil Sao Paulo Brazil
  • BD Kuppermann
    Ophthalmology Univ of California Irvine Irvine CA
  • Footnotes
    Commercial Relationships   S.C. Patel, None; R.A.P. deCarvalho, None; B.D. Kuppermann, None.
Investigative Ophthalmology & Visual Science December 2002, Vol.43, 3526. doi:
  • Views
  • Share
  • Tools
    • Alerts
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      SC Patel, RA P deCarvalho, BD Kuppermann; Surgical Management of Posteriorly Dislocated Ganciclovir Implants . Invest. Ophthalmol. Vis. Sci. 2002;43(13):3526.

      Download citation file:

      © ARVO (1962-2015); The Authors (2016-present)

  • Supplements

Abstract: : Purpose:To describe the surgical management of dislocated intraocular ganciclovir implants in patients with cytomegalovirus retinitis. Methods:Review of surgical techniques in removing dislocated ganciclovir implants in 7 patients. Results:Dislocation of implants occurred at a mean of 3 years after placement. Ganciclovir implants have traditionally been placed with an 8-0 nylon suture which loses tensile strength over time. In cases with limited fibrosis of the strut with the sclera, dislocation of the implants has recently been described. Due to the solid nature of these non-biodegradable implants, the removal of dislocated ganciclovir implants can have potential complications. In this series, severe macular damage happened in one case secondary to intraocular implant manipulation. This type of complication was prevented in the other cases by a modification of the surgical technique. Prevention of fluid fluxes by limiting the sclerotomy size to 20 gauge until the implant is grasped, use of perfluorocarbon liquid and suction-assisted manipulation of the implant showed to be essential in minimizing the risk of traumatic retinal complications. There were no cases complicated by lens touch, peripheral retinal tears or vitreous hemorrhage. Conclusion:Dislocation of ganciclovir implants is a rare event. The removal of these implants can lead to both intraoperative and postoperative complications. However, with the proper technique, these ganciclovir implants can be removed with good postoperative outcomes.

Keywords: 568 retinitis • 382 cytomegalovirus 

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.