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    Cataract/Anterior Segment, Comprehensive Ophthalmology

    This video was updated on April 9, 2020, to highlight new techniques for injecting the Dexycu implant.

    In this surgical video, Dr. John Hovanesian offers pearls for injecting Dexycu, a dexamethasone intraocular suspension administered at the end of cataract surgery to manage postoperative inflammation. He demonstrates both the classic injection method as well as the in-the-bag method—created by Dr. Robert Weinstock—in which the cannula enters the capsular bag to inject the Dexycu peripheral to the optic of the lens. Regardless of approach, take care when hydrating the wound after injecting the suspension to avoid flushing it away. Occasionally, a small amount of Dexcyu may end up in the anterior chamber - small bubbles typically do not cause further problems, oftentimes settling into the far anterior angle. 

    Relevant Financial Disclosures: Dr. Hovanesian is a consultant for EyePoint Pharmaceuticals.