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Midline sclerotomy approach for intraocular foreign body removal in phakic eyes using endoilluminator: A novel technique
- Source :
- Indian Journal of Ophthalmology, Vol 66, Iss 5, Pp 687-690 (2018), Indian Journal of Ophthalmology
- Publication Year :
- 2018
- Publisher :
- Wolters Kluwer Medknow Publications, 2018.
-
Abstract
- Purpose: The objective of this study is to describe the removal of retained intraocular foreign body (RIOFB) by bimanual pars plana vitrectomy through midline sclerotomy in phakic patients. Technique: Four eyes with RIOFB and clear lens underwent microincision vitrectomy surgery. A chandelier illumination was placed through one of the existing ports. The foreign body (FB) was localized by direct visualization (intravitreal) or indentation (pars plana), stabilized using an intraocular magnet/FB forceps introduced through a midline sclerotomy and freed of vitreous from all sides using a vitrectomy cutter through the other port bimanually, reoriented along their long axis and extracted through the midline sclerotomy. Results: All four FBs were removed successfully without slippage or damage to the clear lens. Conclusion: Chandelier illumination-assisted removal of FB through midline sclerotomy helps in easier localization, stabilization and removal, avoiding lens touch even in anteriorly located FBs such as at pars plana.
- Subjects :
- Pars plana
medicine.medical_specialty
Visual acuity
genetic structures
medicine.medical_treatment
Forceps
Visual Acuity
Vitrectomy
03 medical and health sciences
0302 clinical medicine
lcsh:Ophthalmology
Ophthalmology
retained intraocular foreign body
medicine
Humans
intraocular foreign body
Surgical Technique
Sclerostomy
Lighting
business.industry
Endoilluminator-assisted technique
Equipment Design
medicine.disease
Eye Injuries, Penetrating
eye diseases
Sclera
Vitreous Body
medicine.anatomical_structure
midline approach
Eye Foreign Bodies
lcsh:RE1-994
Lens (anatomy)
030221 ophthalmology & optometry
sense organs
medicine.symptom
Foreign body
business
030217 neurology & neurosurgery
midline sclerotomy
Subjects
Details
- Language :
- English
- ISSN :
- 19983689 and 03014738
- Volume :
- 66
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Indian Journal of Ophthalmology
- Accession number :
- edsair.doi.dedup.....a393ceda545568b922cae09b17f2efc0