20G Vitrectomy; Current Usage, Indications, and Practices

2021 ◽  
pp. 300-302
Keyword(s):  
Foreign Body ◽  
Cataract Surgery ◽  
Vitreoretinal Surgery ◽  
Intraocular Foreign Body ◽  
Surgery Complications ◽  
Foreign Body Removal ◽  
Current Usage ◽  
Cataract Surgery Complications

Vitreoretinal surgery is evolving to a smaller size since first described. After the first vitrectomy probe defined as 17 Gauge (G), a smaller gauge (20G, 23G, 25G, and 27G) vitrectomy probes and trocars were identified. Even though 20G vitrectomy has been used for many years, thinner and less traumatic vitrectomy systems are developed and 20G has lost popularity. Hybrid use of 20G and other systems remains current, especially in cases such as endophthalmitis, intraocular foreign body removal, and cataract surgery complications.

scholarly journals Results of intraocular foreign body removal from the posterior segment by direct approach

2015 ◽  
Vol 8 (4) ◽  
pp. 24-29 ◽  
Author(s):  
Vadim Petrovich Nikolaenko ◽  
Mariya Valerievna Kataeva
Keyword(s):  
Foreign Body ◽  
Retinal Detachment ◽  
Vitreoretinal Surgery ◽  
Vitreous Hemorrhage ◽  
Cataract Extraction ◽  
Intraocular Foreign Body ◽  
Direct Approach ◽  
Eye Injuries ◽  
Foreign Body Removal ◽  
History Analysis

Objective: to evaluate early and remote complication of intraocular foreign body (FB) removal by direct approach, and to determine indications for splinter removal through the wound. Material and methods. Case history analysis was performed in 31 patients with missile eye injuries. In all patients, FB was removed by direct approach at initial surgical debridement. Results. Foreign body penetration was accompanied with injuries of different eye segments, which were manifested by vitreous hemorrhage, hyphema, subretinal hemorrhage, retinal detachment, traumatic cataract. In 12 patients, there was a need in additional surgical treatment consisting in retinal laser barrage, vitrectomy, cataract extraction. As a result of treatment, visual acuity increased in 58.06% of injured. At the remote post-op period, retinal detachment developed in 16.13% cases, and vitreoretinal procedures were performed. Conclusions. Intraocular foreign body removal from the posterior eye segment using direct approach is appropriate if the FB is in the wound or in its immediate proximity. Most serious complications of missile injury are proliferative vitreoretinopathy and retinal detachment, demanding vitreoretinal surgery.

Evaluation of the use of NGage® Nitinol stone extractor for intraocular foreign body removal

2021 ◽  
Author(s):  
Samir Mohammed El-Baha ◽  
Mohsen Ahmed Abou Shousha ◽  
Tarek Abdelrazek Hafez ◽  
Islam S. H. Ahmed
Keyword(s):  
Foreign Body ◽  
Intraocular Foreign Body ◽  
Foreign Body Removal

scholarly journals Midline sclerotomy approach for intraocular foreign body removal in phakic eyes using endoilluminator: A novel technique

2018 ◽  
Vol 66 (5) ◽  
pp. 687
Author(s):  
ShoryaVardhan Azad ◽  
Raghav Ravani ◽  
Rohan Chawla ◽  
Yogita Gupta ◽  
Vinod Kumar ◽  
...  
Keyword(s):  
Foreign Body ◽  
Intraocular Foreign Body ◽  
Foreign Body Removal ◽  
Novel Technique ◽  
Phakic Eyes

Effect of full-time vs volunteer faculty supervision on resident cataract surgery complications

2020 ◽  
Vol 46 (5) ◽  
pp. 700-704
Author(s):  
Murtaza Saifee ◽  
Ivy Zhu ◽  
Ying Lin ◽  
Catherine E. Oldenburg ◽  
Saras Ramanathan
Keyword(s):  
Cataract Surgery ◽  
Full Time ◽  
Surgery Complications ◽  
Faculty Supervision ◽  
Cataract Surgery Complications

scholarly journals A Cross-Knotted Suture Basket Technique for Large Nonmagnetic Intraocular Foreign Body Removal

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Jian Cao ◽  
Baihua Chen ◽  
Yun Li
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Intraocular Foreign Body ◽  
Effective Alternative ◽  
Foreign Body Removal ◽  
Novel Technique ◽  
Clinical Investigations ◽  
Vicryl Suture ◽  
The Cross ◽  
Set Up

Purpose. To report a novel technique of cross-knotted suture basket and to test its effectiveness in large nonmagnetic intraocular foreign body (IOFB) removal. Methods. A 7/0 Vicryl suture was cut in half and cross-knotted, and four ends were introduced into a 23G needle to form a basket. Pig eyes were used to set up the IOFB model, and the effectiveness of the suture basket in the removal of large nonmagnetic intraocular foreign bodies was tested. Results. Several modifications can be made to adapt to different situations. For the materials (stone, metal, glass, and wood) and shapes (irregular, spherical, and rectangle) of large IOFB tested, the cross-knotted suture basket successfully removed all kinds of IOFBs. Conclusion. The suture basket technique provides an accessible, safe, and effective alternative in large nonmagnetic IOFB removal. It can be adapted and interchangedand also worth’s further clinical investigations.

Techniques to Monitor for Endophthalmitis and Other Cataract Surgery Complications

Ophthalmology ◽  
2008 ◽  
Vol 115 (1) ◽  
pp. 3-10.e6 ◽  
Author(s):  
Jonathon Q. Ng ◽  
Nigel Morlet ◽  
Alexandra P. Bremner ◽  
Max K. Bulsara ◽  
Anthony P. Morton ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Surgery Complications ◽  
Cataract Surgery Complications

scholarly journals Clinical characteristics and visual outcome, prognostic factor, visual acuity and globe survival in posterior segment intraocular foreign body at Tilganga Institute of Ophthalmology

2018 ◽  
Vol 10 (1) ◽  
pp. 66-72 ◽  
Author(s):  
Sanjita Sharma ◽  
Raba Thapa ◽  
Sanyam Bajimaya ◽  
Eli Pradhan ◽  
Govinda Poudyal
Keyword(s):  
Foreign Body ◽  
Retinal Detachment ◽  
Clinical Characteristics ◽  
Primary Repair ◽  
Posterior Segment ◽  
Intraocular Foreign Body ◽  
P Value ◽  
Foreign Body Removal ◽  
Penetrating Eye Injury ◽  
The Mean

Purpose: To evaluate clinical characteristics, visual outcomes and globe survival after intraocular foreign body removal from posterior segment via pars plana approach. Methods: A hospital based retrospective study. All the patients of penetrating eye injury with intraocular foreign body in posterior segment as detected by computed tomography were enrolled from 2012 to 2014.Results: Thirty patients of 30 eyes were included. The mean age was 27.7 years. (2-52). Twenty-four (80%) were male. Out of 30 eyes 19 (63.3%) eyes had injury at Zone 1 and 11 (36.7%) eyes had injury at Zone 2. The mean time spent between primary repair following surgery and intra ocular foreign body removal, was 15.47 days. Retinal detachment and endophthalmitis prior to intraocular foreign body removal was present in 9/30 of eyes. We looked for correlation between post operative Phthisis bulbi with zone of injury and pre operative endophthalmitis and preoperative retinal detachment. However, p value for the above correlation was more than 0.552 and 0.815 respectively, which was statistically not significant.Conclusions: The eyes with posterior segment intraocular foreign bodies showing clinical features of preoperative endophthalmitis, retinal detachment and the zone of injury also did not have any direct significance with globe survival.  

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