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Letters |

A Report of High Intraocular Pressure With the Dexamethasone Intravitreal Implant

Nehali Vira Saraiya, MD; Sarju S. Patel, MD, MPH; Debra A. Goldstein, MD
Arch Ophthalmol. 2011;129(12):1638-1640. doi:10.1001/archophthalmol.2011.355.
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We read with interest the article by Lowder et al1 on the outcomes of the dexamethasone intravitreal implant for treatment of noninfectious intermediate or posterior uveitis. Lowder et al1 found that the implant was able to significantly reduce intraocular inflammation and improve visual acuity for 6 months in patients with uveitis. Also, fewer than 5% of eyes developed an intraocular pressure (IOP) of 35 mm Hg or greater, and fewer than 10% of eyes developed an IOP of 25 mm Hg or greater. Approximately one-quarter of patients required topical antihypertensive therapy for IOP control, with few requiring more than 1 medication over the 26-week study. No eyes required surgical intervention for management of elevated IOP.1

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Figure 1. A, Preimplant spectral-domain optical coherence tomographic (SD-OCT) scan (SPECTRALIS SD-OCT; Heidelberg Engineering, Carlsbad, California) of a macula in the left eye of a 41-year-old Hispanic woman with idiopathic, bilateral chronic iridocyclitis with multifocal choroiditis and cystoid macular edema. B, Preimplant SD-OCT scan of a macula in the right eye of the same woman. BM indicates Bruch's membrane; ILM, internal limiting membrane.

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Figure 2. A, One-week postimplant spectral-domain optical coherence tomographic (SD-OCT) scan (SPECTRALIS SD-OCT; Heidelberg Engineering, Carlsbad, California) of a macula in the left eye of the same woman as inFigure 1. B, Two-week postimplant SD-OCT scan of a macula in the right eye of the same woman.

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Correspondence

December 1, 2011
Careen Lowder, MD, PhD; Ruben Belfort, MD; Sue Lightman, MD; C. Stephen Foster, MD; Michael R. Robinson, MD; Rhett M. Schiffman, MD, MS, MHSA; Xiao-Yan Li, MD; Harry Cui, MS; David A. Hollander, MD, MBA; Yehia Hashad, MD; Scott M. Whitcup, MD
Arch Ophthalmol. 2011;129(12):1638-1640. doi:10.1001/archophthalmol.2011.356.
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