Anterior Chamber Migration of Ozurdex Implant Mimicking Hypopyon

This case report describes a 55-year-old male with a complex ocular history, including complicated cataract surgery with posterior capsule rupture and persistent cystoid macular edema, who developed anterior chamber migration of an Ozurdex dexamethasone implant 1 week after injection. The migrated implant was initially mistaken for hypopyon, raising concerns for endophthalmitis due to acute visual deterioration and corneal edema. Postdilation examination confirmed the implant as the cause, and urgent surgical removal resolved the corneal edema, improving visual acuity from hand movements to 20/200. This case highlights the diagnostic challenges of Ozurdex migration mimicking infectious endophthalmitis and emphasizes the critical need for early recognition and intervention in anatomically compromised eyes to prevent vision-threatening complications.