J Korean Ophthalmol Soc > Volume 60(2); 2019 > Article
Journal of the Korean Ophthalmological Society 2019;60(2):195-200.
DOI: https://doi.org/10.3341/jkos.2019.60.2.195    Published online February 15, 2019.
Intravitreal Dexamethasone Implantation in a Behcet's Disease Patient with Macular Edema, Vasculitis after Cataract Surgery.
Ji Young Lee, Ho Ra, Eun Chul Kim, Nam Yeo Kang, Ji Won Baek
Department of Ophthalmology, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea. md.jiwon@gmail.com
베체트병에서 백내장수술 후 발생한 황반부종 및 혈관염을 덱사메타손삽입술로 치료한 1예
이지영⋅나 호⋅김은철⋅강남여⋅백지원
가톨릭대학교 의과대학 부천성모병원 안과학교실
Correspondence:  Ji Won Baek,
Email: md.jiwon@gmail.com
Received: 26 July 2018   • Revised: 13 September 2018   • Accepted: 24 January 2019
To report a case of macular edema and retinal vasculitis treated with intravitreal dexamethasone implantation in a Behcet's disease patient after cataract surgery. CASE SUMMARY: A 26-year-old male with Behcet's disease, without recurrence of uveitis for 3 months, underwent phacoemulsification and posterior chamber intraocular lens implantation for a cataract in the left eye. The preoperative best corrected visual acuity (BCVA) of the left eye was 0.15. At day 1 after surgery, his BCVA was 0.4, and slit lamp examination of his left eye revealed a mild anterior chamber reaction. At 1 week after surgery, he presented with left vision impairment, his BCVA was 0.04, and mild inflammation was observed in both the anterior chamber and the vitreous in his left eye. Unilateral macular edema was confirmed with optical coherence tomography, and fluorescein angiography revealed retinal vasculitis on the fovea and peripheral retina. Intravitreal dexamethasone implantation was performed in his left eye, 1 month after treatment, the macular edema and retinal vasculitis had improved, and the BCVA of his left eye was 0.8. CONCLUSIONS: In patients with Behcet's disease, intravitreal dexamethasone implantation can be an effective treatment option for macular edema and retinal vasculitis after cataract surgery.
Key Words: Behcet disease;Dexamethasone;Macular edema;Vasculitis

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