title: Surgical intervention of steroid-induced ocular hypertension from Ozurdex.
abstract: OBJECTIVE
  To present a case study on the management of ocular hypertension induced by repeated Ozurdex implants.
  
  
  METHODS
  A 51-year-old white man presented to the Tallahassee Veterans Affairs Outpatient Clinic as requested by the retinal specialist for an intraocular pressure (IOP) check. Two months before this visit, the patient was given an Ozurdex implant in each eye for reoccurring diabetic macular edema. Subsequent follow-up examinations documented the intervals between repeated Ozurdex implants and the increase in IOP, with progression to surgical intervention to control eye pressures.
  
  
  CONCLUSIONS
  Results from previous studies and this case report indicate that maximum IOP occurs at approximately 8 weeks after injection of an Ozurdex implant. Although most patients can be managed by IOP-lowering medications, this case is unique because it is an example of repeated implants at approximately 4-month intervals that led to surgical intervention to control IOP. Evidence-based knowledge of Ozurdex as reviewed in this article will lead to better patient postoperative management.
authors.affiliation: Tallahassee Veterans Affairs Outpatient Clinic, Tallahassee, Florida 32308, USA. poonamsejpal@gmail.com
authors.forename: Poonam
authors.initials: P
authors.lastname: Sejpal
authors.forename: Joni
authors.initials: J
authors.lastname: Scott-Weideman
mesh_terms: D003907:Dexamethasone / Q000008:administration & dosage / Q000009:adverse effects*; D003930:Diabetic Retinopathy / Q000188:drug therapy; D004343:Drug Implants / Q000009:adverse effects; D005938:Glucocorticoids / Q000008:administration & dosage / Q000009:adverse effects; D006801:Humans; D007429:Intraocular Pressure / Q000187:drug effects*; D058449:Intravitreal Injections; D008269:Macular Edema / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D009798:Ocular Hypertension / Q000139:chemically induced / Q000175:diagnosis / Q000601:surgery*; D014065:Tonometry, Ocular; D014130:Trabeculectomy / Q000379:methods*
chemical_list: D004343:Drug Implants; D005938:Glucocorticoids; D003907:Dexamethasone