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Corticosteroid Implants in Korea

Corticosteroid Implants

Treatment Overview

The Corticosteroid Implant Program in Korea provides a sustained-release solution for managing chronic macular edema and inflammatory retinal diseases. Corticosteroid implants, such as Ozurdex® (dexamethasone) and Iluvien® (fluocinolone acetonide), deliver anti-inflammatory medication directly into the vitreous cavity, reducing fluid accumulation, vascular leakage, and inflammation over months.

Korea is recognized globally for its advanced retinal therapy programs, integrating:

  • High-precision intravitreal implant injection techniques
  • OCT and OCTA imaging for edema and retinal structure evaluation
  • Sterile injection suites with real-time monitoring
  • AI-based macular edema progression tracking
  • Combined therapy with anti-VEGF when indicated
  • Personalized dosing intervals and follow-up protocols

This program offers a long-acting alternative for patients who require more durable control of retinal inflammation or edema.


Purpose & Benefits

Purpose

  • Treat chronic diabetic macular edema (DME) resistant to anti-VEGF therapy
  • Manage retinal vein occlusion (RVO)-related macular edema
  • Control posterior uveitis and other intraocular inflammatory conditions
  • Reduce the frequency of intravitreal injections
  • Stabilize vision in patients with recurrent edema
  • Provide sustained drug delivery to minimize systemic side effects

Benefits

  • Long-lasting effect (up to 6 months for Ozurdex®, up to 3 years for Iluvien®)
  • Direct intraocular delivery reduces systemic exposure
  • Significant reduction in macular thickness
  • Improved or stabilized visual acuity
  • Reduces treatment burden for chronic conditions
  • Precise implantation minimizes risk to surrounding retinal tissue
  • Safe when performed by Korea’s experienced retina specialists

Ideal Candidates

The Corticosteroid Implant Program in Korea is ideal for:

  • Patients with chronic DME not responding to anti-VEGF therapy
  • Individuals with macular edema from branch or central retinal vein occlusion (BRVO/CRVO)
  • Patients with recurrent or persistent uveitis
  • Individuals with post-surgical macular edema (pseudophakic CME)
  • Patients seeking longer-term control with fewer injections
  • High-risk patients with poor compliance to monthly injection schedules

Possible Risks & Complications

While corticosteroid implants are generally safe, potential risks include:

Common/Moderate Risks:

  • Temporary floaters or mild irritation
  • Increased intraocular pressure (IOP)
  • Cataract progression (in phakic patients)

Rare/Serious Risks:

  • Endophthalmitis (infection inside the eye)
  • Retinal detachment
  • Implant migration (rare)
  • Vitreous hemorrhage

Korean specialists minimize risks through:

  • Careful patient selection and pre-injection evaluation
  • Sterile operating environment and precise injection technique
  • Regular OCT monitoring and IOP checks
  • Combined therapy only when indicated

Related Treatment Techniques

  1. Anti-VEGF Injections
    May be combined for refractory macular edema.
  2. Laser Photocoagulation
    Useful for focal edema or ischemic areas.
  3. MicroPulse Laser Therapy
    Minimizes retinal damage in chronic edema cases.
  4. Pars Plana Vitrectomy (PPV)
    Considered in selected patients with vitreomacular traction.
  5. Topical/Systemic Steroids
    Supplementary therapy for ocular inflammation when required.

Treatment Process in Korea

Step 1 – Baseline Imaging

OCT, OCTA, and fundus photography evaluate macular edema and retinal structure.

Step 2 – Pre-Procedure Assessment

Intraocular pressure, lens status, and retinal integrity are assessed.

Step 3 – Corticosteroid Implant Injection

Performed in a sterile intravitreal injection suite under local anesthesia.
Implants include:

  • Ozurdex®: Dexamethasone implant (up to 6 months effect)
  • Iluvien®: Fluocinolone acetonide implant (up to 3 years effect)

Step 4 – Post-Injection Monitoring

Immediate IOP check, OCT imaging, and slit-lamp examination.

Step 5 – Follow-Up and Maintenance

Regular follow-ups monitor IOP, retinal thickness, and visual acuity. Additional injections or therapy adjustments are made as needed.

Program Duration: 15–30 minutes

Setting: Sterile intravitreal injection room


Recovery & After-Care

After-Care Guidelines

  • Avoid eye rubbing and swimming for 24–48 hours
  • Use prescribed antibiotic drops if indicated
  • Monitor for sudden vision changes, flashes, or floaters
  • Attend follow-up visits for OCT and IOP monitoring

Recovery Timeline

  • Immediate: Mild irritation or blurred vision for a few hours
  • 1–2 Days: Vision stabilizes; edema begins responding to therapy
  • 1–6 Months: Sustained reduction in macular edema (Ozurdex®)
  • Long-Term: Up to 3 years with Iluvien®, with periodic monitoring

Results & Longevity

Expected Results

  • Significant reduction in macular edema
  • Stabilization or improvement of visual acuity
  • Reduced frequency of intravitreal injections
  • Long-term retinal protection and inflammation control
  • Improved patient compliance and quality of life

Longevity

  • Ozurdex®: Effect lasts 4–6 months per injection
  • Iluvien®: Effect lasts up to 3 years
  • Long-term OCT monitoring ensures sustained therapeutic benefits
  • Minimizes cumulative treatment burden over years

Why Korea Is a Top Destination

  • Highly skilled retinal specialists trained in implant procedures
  • Advanced OCT and OCTA imaging for precise monitoring
  • Sterile, high-tech injection suites
  • Personalized treatment plans for long-term vision stability
  • AI-assisted edema tracking for optimal timing of implants
  • Excellent outcomes for chronic DME, RVO, and uveitis patients

Unique Korean Innovations

  • AI-guided retinal thickness and edema prediction
  • Optimized injection techniques for minimal ocular trauma
  • Integration with anti-VEGF therapy for resistant cases
  • Comprehensive long-term monitoring dashboards
  • Pediatric and high-risk patient protocols

These innovations make Korea’s
Corticosteroid Implant Program
one of the most advanced and effective retinal treatments globally.


Cost Range (Indicative Estimate)

Program PackagePrice (KRW)Approx. USDInclusions
Ozurdex® Single Implant₩800,000 – ₩1,200,000~$600 – $900Injection + baseline OCT
Iluvien® Long-Term Implant₩3,000,000 – ₩4,500,000~$2,300 – $3,500Injection + baseline imaging + monitoring
Comprehensive Retinal Management Plan₩4,500,000 – ₩6,500,000+~$3,500 – $5,000+Implant + OCT + OCTA + follow-ups + adjunct therapy

Popular Clinics in Korea

  • B&VIIT Eye Center (Seoul)
  • Dream Eye Center (Seoul)
  • BGN Eye Clinic (Seoul & Busan)
  • Glory Seoul Eye Clinic
  • Kim’s Eye Hospital (Seoul)
  • NUNE Eye Hospital (Daegu)
  • Seoul National University Hospital Retina Center
  • Gangnam Severance Hospital Ophthalmology

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