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. 2023 Oct 13;15(10):2461. doi: 10.3390/pharmaceutics15102461

Table 3.

DEX implantation in patients with glaucoma or cataracts.

Spanish Consensus 2019 French Consensus Asian Consensus Emirates Society of Ophthalmology Consensus Italian Consensus Saudi Arabia Consensus
DEX implant in glaucoma patients Not considered Patient with stable glaucoma. Patients with stable glaucoma treated with monotherapy can undergo DEX implant. DEX implant should not be used in patients with advanced glaucoma requiring more than three medications. Consensus not reached regarding the use of DEX implant in patients with ocular hypertension controlled via topical therapy. Not considered
IOP monitoring Not considered Monitoring IOP between the first and second month after DEX implant. Routine IOP check at 6 weeks post-DEX implant; in glaucoma patients at week 1, week 2, and 4 to 6 weeks post-treatment. Not considered Not considered Not considered
Topical steroid loading test utility Not considered Not needed Not considered Not considered Not useful Not considered
DEX implant and cataract development Not considered Low risk to develop cataracts after 2 injections. DEX implant also in phakic patient if it is supposed to be the most effective treatment in that patient. Not considered Not considered Not considered
DME and cataract surgery Not considered DEX implant 2 weeks before cataract extraction. Not considered Not considered Not considered Not considered