Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2020 Jan 13:14:89-94.
doi: 10.2147/OPTH.S238756. eCollection 2020.

Dexamethasone 0.4mg Sustained-Release Intracanalicular Insert in the Management of Ocular Inflammation and Pain Following Ophthalmic Surgery: Design, Development and Place in Therapy

Affiliations
Review

Dexamethasone 0.4mg Sustained-Release Intracanalicular Insert in the Management of Ocular Inflammation and Pain Following Ophthalmic Surgery: Design, Development and Place in Therapy

Cassandra C Brooks et al. Clin Ophthalmol. .

Abstract

Inflammation and pain are two prevalent findings after ocular surgery. Corticosteroids are widely administrated as a core treatment to control post-surgical inflammation and pain. Improper patient adherence to post-operative eye drop regimens, limited bioavailability of topical eye drops, and the negative impact of preservatives used in many of these eye drops, has made a strong case for novel therapies in the treatment of post-operative pain and inflammation. This review of the literature will focus on the role of intracanalicular sustained-release dexamethasone (Dextenza, Ocular Therapeutix, Bedford, MA, USA) for the management of ocular inflammation and pain.

Keywords: dexamethasone; intracanalicular; ocular inflammation; ocular pain; ophthalmic surgery; sustained-release.

PubMed Disclaimer

Conflict of interest statement

Dr Preeya K Gupta is consultant for Alcon, Eyepoint, Allergan, Johnson & Johnson Vision, and Ocular Science, outside the submitted work. The authors report no other conflicts of interest in this work.

Figures

Figure 1
Figure 1
Sustained-release dexamethasone intracanalicular insert. Images courtesy of Ocular Therapeutix, Inc.

References

    1. McColgin AZ, Heier JS. Control of intraocular inflammation associated with cataract surgery. Curr Opin Ophthalmol. 2000;11(1):3–6. doi: 10.1097/00055735-200002000-00002 - DOI - PubMed
    1. Chang DT, Herceg MC, Bilonick RA, Camejo L, Schuman JS, Noecker RJ. Intracameral dexamethasone reduces inflammation on the first postoperative day after cataract surgery in eyes with and without glaucoma. Clin Ophthalmol. 2009;3:345–355. doi: 10.2147/OPTH.S5730 - DOI - PMC - PubMed
    1. Asbell PA, Dualan I, Mindel J, Brocks D, Ahmad M, Epstein S. Age-related cataract. Lancet. 2005;365(9459):599–609. doi: 10.1016/S0140-6736(05)70803-5 - DOI - PubMed
    1. Ciulla TA, Walker JD, Fong DS, Criswell MH. Corticosteroids in posterior segment disease: an update on new delivery systems and new indications. Curr Opin Ophthalmol. 2004;15(3):211–220. doi: 10.1097/01.icu.0000120711.35941.76 - DOI - PubMed
    1. Al-Khersan H, Hariprasad SM, Chhablani J. Early response to intravitreal dexamethasone implant therapy in diabetic macular edema may predict visual outcome. Am J Ophthalmol. 2017;184:121–128. doi: 10.1016/j.ajo.2017.10.004 - DOI - PubMed