23-gauge vitrectomy with intraocular foreign body removal via the limbus: An alternative approach for select cases

Purpose.To evaluate visual and safety outcomes of 23-gauge (G) pars plana vitrectomy (PPV) with application of perfluorocarbon liquid (PFCL) for intraoperative protection of the macula during intraocular foreign body (IOFB) removal.Methods.Retrospective study of 42 patients who underwent 23 G PPV for IOFB removal from posterior segment with intraoperative PFCL application for the macula shielding. Collected data included corrected distance visual acuity (CDVA), size of IOFB, and complication rate. The mean follow-up period was 12 months.Results. The mean preoperative CDVA was 0.54 logMAR (SD 0.46), and the final mean CDVA was 0.68 logMAR (SD 0.66). All IOFBs were metallic with mean dimensions of 4.6 mm × 2.1 mm. Twenty-two IOFBs were removed through the corneal tunnel and 20 IOFBs through the sclerotomy. No intraoperative iatrogenic lesion of the macula was observed. As a tamponade, silicon oil was applied in 31 eyes, SF6gas in 5 eyes, air in 4 eyes, and 2 eyes required no tamponade. Secondary retinal detachment was observed in 17% of cases, but at the end of the follow-up, all the retinas were attached.Conclusion. PFCL application during PPV is a safe method of protecting the macula from unexpected falling of the metallic IOFB during its removal.

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Intraocular Foreign Body Removal by Viscoelastic Capture Using DisCoVisc During 23-Gauge Microincision Vitrectomy Surgery

Retina ◽

10.1097/iae.0b013e318286ce83 ◽

2013 ◽

Vol 33 (5) ◽

pp. 1070-1072 ◽

Cited By ~ 7

Author(s):

Joon Ho Park ◽

Jun Hun Lee ◽

Jae Pil Shin ◽

In Taek Kim ◽

Dong Ho Park

Keyword(s):

Foreign Body ◽

Intraocular Foreign Body ◽

Foreign Body Removal ◽

Microincision Vitrectomy Surgery ◽

23 Gauge ◽

Vitrectomy Surgery

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

International Ophthalmology ◽

10.1007/s10792-021-01765-6 ◽

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

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

Indian Journal of Ophthalmology ◽

10.4103/ijo.ijo_1090_17 ◽

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

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Metallic Intraocular Foreign Body Removal By Magnet V/A Trans Scleral Pars Plana Approach

Journal of Liaquat University of Medical & Health Sciences ◽

10.22442/jlumhs.06510094 ◽

2006 ◽

Vol 05 (02) ◽

pp. 86-89

Keyword(s):

Foreign Body ◽

Intraocular Foreign Body ◽

Foreign Body Removal ◽

Pars Plana

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

Journal of Ophthalmology ◽

10.1155/2020/1061462 ◽

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.

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

Nepalese Journal of Ophthalmology ◽

10.3126/nepjoph.v10i1.21691 ◽

2018 ◽

Vol 10 (1) ◽

pp. 66-72 ◽

Cited By ~ 1

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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Intraocular Foreign Body Removal by 23-Gauge Micro Incision Vitrectomy Surgery and Back Flush Flute Needle: A Case Series Study

Global Journal of Health Science ◽

10.5539/gjhs.v9n5p262 ◽

2016 ◽

Vol 9 (5) ◽

pp. 262

Author(s):

Mohamadhosein Ahoor ◽

Rana Sorkhabi

Keyword(s):

Foreign Body ◽

Case Series ◽

Intraocular Foreign Body ◽

Medical Sciences ◽

Corneal Incision ◽

Case Series Study ◽

Corneal Endothelial Cell Density ◽

23 Gauge ◽

A New Technique ◽

Vitrectomy Surgery

BACKGROUND: This study aimed to consider a new technique to extract an intraocular foreign body by 23-gauge micro incision vitrectomy surgery (23G-MIVS).METHOD: This case series was done on Patients with intraocular foreign bodies and cataract during 2012-2015 in Tabriz University of Medical Sciences. Phacoemulsification and aspiration of lens nucleus, intraocular lens implantation, 23G-MIVS, and extraction of the foreign body were performed on patients. The foreign body was removed through a posterior capsulor hexis, anterior continuous curvilinear capsulorhexis, and a corneal incision. In all cases, the foreign body was safely removed through the corneal incision with back flush Flute Needle, and IOL was implanted and well positioned. The surgical incision did not require suturing.RESULTS: This technique was successful for the patients and the corneal endothelial cell density was maintained over 2000 cells/mm2 in all cases during recent follow-up examinations.CONCLUSION: We found that 23G-MIVS with this technique is suitable to remove the foreign body. It is safe, without complications, and can be used without enlarging the 23-gauge sclerotomy.

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

Ophthalmology journal ◽

10.17816/ov2015424-29 ◽

2015 ◽

Vol 8 (4) ◽

pp. 24-29 ◽

Cited By ~ 1

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.

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Surgical closure of giant traumatic macular hole with retinal graft

European Journal of Ophthalmology ◽

10.1177/1120672118803846 ◽

2018 ◽

Vol 29 (5) ◽

pp. NP14-NP17 ◽

Cited By ~ 2

Author(s):

Berna Özkan ◽

V Levent Karabaş

Keyword(s):

Foreign Body ◽

Macular Hole ◽

Intraocular Foreign Body ◽

Macular Hole Surgery ◽

Foreign Body Removal ◽

Surgical Closure ◽

Macular Holes ◽

Work Accident ◽

Corneal Penetration

Aim: To present a case with a large traumatic macular hole that we repaired with a retinal graft. Case description: A 24-year-old male patient presented with corneal penetration and an intraocular foreign body caused by a work accident. Vitrectomy and intraocular foreign body removal were performed. One month after the surgery, the patient had macula on retinal detachment in the nasal and superior quadrant. In addition, a giant macular hole was formed. However, the macula was atrophic because of the trauma, and we could not repair the hole with classic macular hole surgery techniques. For this reason, we used a retinal graft to cover the macular hole, and we observed that the hole was closed in follow-up visits. Conclusion: Retinal grafts can be used in patients with giant macular holes. They may be useful especially in patients with atrophic macula in trauma cases.

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