We report on the significant improvement of central macular thickness in a case of clinically significant macular edema after dexamethasone 0.7 mg sustained-release intravitreal implant (Ozurdex®; Allergan, Inc, Irvine, CA, USA). Patient presented to us with persistent clinically significant macular edema (CSME) in both eyes. Right eye received dexamethasone implant and left eye received two intravitreal bevacizumab injections 1.25 mg/0.05 mL (Avastin®; Genentech Inc., South San Francisco, CA, USA) with an interval of four weeks. After six weeks of follow-up, dexamethasone implant in the right eye showed normal macular thickness whereas persistent macular edema (ME) was found even after second intravitreal bevacizumab injection in the left eye.

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Introduction: The management of comminuted inter trochanteric fractures of femur in elderly patients is tricky as there is challenge of difficult anatomical reduction in osteoporotic bones, need for prolonged immobilization after surgery and more chances of screw cut out in poor quality bone. Prolonged immobilization will leads into complications like bed sores, chest infections, deep vein thrombosis, dependency and psycho social side effects, increasing the both morbidity and mortality. The aim of our study was to evaluate the functional outcome of cemented bipolar hemiarthroplasty in comminuted inter trochanteric fractures of femur in elderly patients using Harris Hip Score. Materials and Methods: This prospective study was conducted at Basaveshwara Teaching And General Hospital attached to M R Medical college, Kalaburagi. Twenty elderly patients with age above sixty years having comminuted inter trochanteric fractures of femur treated by using cemented bipolar hemi arthroplasty from june 2016 to may 2018 were evaluated for functional outcome using Harris Hip Score. Results: There were 12 female and 8 male patients with mean age of 71.29(60 -84) years treated by cemented bipolar hemiarthroplaty. The average surgery time was 96.34 min (64-125min), the average intraoperative blood loss was 355ml and average stay in hospital was for 14.5 days. Patients were followed up at 6 weeks, 3months, 6 month and 1 year. At one year follow up with help of Harris Hip Score 8 patients (40%) were graded as excellent, 10 patients (50%) as good and 2 patients (10%) as fair. Conclusion:The procedure offered rapid mobilization, early return to pre injury level and gave a lasting solution to elderly patients with comminuted inter trochanteric fractures of femur.