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- Title
Midline sclerotomy approach for intraocular foreign body removal in phakic eyes using endoilluminator: A novel technique.
- Authors
Ravani, Raghav; Chawla, Rohan; Azad, Shorya Vardhan; Gupta, Yogita; Kumar, Vinod; Kumar, Atul
- Abstract
<bold>Purpose: </bold>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.<bold>Technique: </bold>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.<bold>Results: </bold>All four FBs were removed successfully without slippage or damage to the clear lens.<bold>Conclusion: </bold>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
INTRAOCULAR lenses; FOREIGN body reaction; OPERATIVE surgery; VITRECTOMY; VITREOUS body surgery; LIGHTING equipment; SCLERA surgery; FOREIGN bodies in eyes; OPHTHALMIC surgery; OCULAR injuries; VISUAL acuity; PRODUCT design; SCLEROSTOMY; DIAGNOSIS
- Publication
Indian Journal of Ophthalmology, 2018, Vol 66, Issue 5, p687
- ISSN
0301-4738
- Publication type
journal article
- DOI
10.4103/ijo.IJO_1090_17