Use of Tipless Kidney Stone Basket for Removal of Intraocular Foreign Bodies or Dislocated Cataract in Eyes With Posterior Staphyloma

Durrani, Alia; Cherney, Edward F.; Shah, Rohan J.; Patel, Shriji

doi:10.1097/iae.0000000000002249

Cited by 7 publications

(8 citation statements)

References 3 publications

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Section: Discussionmentioning

confidence: 99%

“…10 The use of Eckardt forceps, designed for ILM peeling with end-gripping platform and thin tips, allows the surgeon to manipulate the retina and IOFB adherences with delicate approaches and improved visualization; however, specific tools are sometimes required to grasp and maneuver IOFBs inside the eye. 11 We have experienced that the Grieshaber DSP Eckardt forceps, properly modified to extend the bite size, allows the surgeon to catch the foreign body according to its shape, "embracing" it with a stable grip. The fineness of the tips provides the surgeon with maximum visibility, while the arched and flat ends allow the forceps to safely slide over the retina during the grasping maneuvers.…”

Section: Discussionmentioning

confidence: 99%

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Eckardt Forceps Tip Widening for the Removal of Posterior Intraocular Foreign Bodies Bigger Than 1 mm

Vastarella

Bratu

Sinisi

2020

Retina

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Purpose: To propose a new technique with an "old" tool to allow for better intraocular foreign body (IOFB) grasping and manipulation during mininvasive vitreoretinal surgery.Methods: The authors report herein their technique on seven eyes, diagnosed with posterior IOFBs, in which the surgery consisted of a 23-gauge vitrectomy, using, for IOFB grasping, a Grieshaber DSP 23-gauge Eckardt forceps, properly modified intraoperatively. Such result was achieved by enlarging the forceps opening bite, according to the IOFB size.Results: In all patients, IOFBs were removed using the modified 23-gauge Grieshaber Eckardt forceps. In 6 cases, a combined phacovitrectomy was performed, and the IOFB expressed through the corneal phacoincision; in one phakic patient, the removal was performed through the sclerotomy, extended just as needed. Conclusion:The Grieshaber Eckardt forceps commonly used in MIVS can be used in IOFB surgery for a scleral or corneal removal. In case of IOFB bigger than 1 mm, enlarging the forceps bite according the IOFB size provides a firm and safe grip, allowing the surgeon to complete the surgery without switching to bigger and more traumatic instrumentation, reducing collateral damage and shortening the surgery time.RETINA 43:148-151, 2023Scan code to view VIDEOFrom the *

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Eckardt Forceps Tip Widening for the Removal of Posterior Intraocular Foreign Bodies Bigger Than 1 mm

Vastarella

Bratu

Sinisi

2020

Retina

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“…The successful use of a urology kidney stone basket for intraocular foreign bodies has been reported, 7 and an elegant ophthalmic instrument, the ACAR foreign body forceps, described by Acar 3 is based on a similar principal. In her article describing the instrument, Acar refers to and illustrates the concept tying two sutures together to make a modified snare.…”

Section: Discussionmentioning

confidence: 99%

A Simple, Inexpensive, “Modified Lasso” for Removal of Smooth, Spherical Intraocular Foreign Bodies

Rice

Steffen²,

Nyaka³

et al. 2020

RETINAL Cases &Amp; Brief Reports

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To report and demonstrate removal of an intraocular metallic spherical pellet and to describe the construction of a basket instrument.Methods: A 9-year-old boy sustained a pellet gun injury and underwent pars plana vitrectomy to remove an intraocular spherical metallic pellet. A suture loop basket constructed with 3-O nylon and 16-gauge intravenous cannula was used to grasp and remove the foreign body.Results: The pellet was mobilized from a subretinal position and effectively captured in the basket using the light pipe as a second instrument. The captured pellet was successfully removed without slippage via a scleral tunnel incision. Despite reattachment of the retina under silicone oil, the vision deteriorated to no light perception.Conclusion: A simple, readily available basket can be constructed for the effective removal of spherical foreign bodies which are difficult to grasp.

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“…Berry et al later reported using the NSB to explant a dislocated crystalline lens 21 . More recently, both Pertile et al and Durrani et al have described using the NSB for glass or plastic IOFB retrieval in separate case reports 22 , 23 . The NSB could be re-engineered for ophthalmic surgery.…”

Section: Discussionmentioning

confidence: 99%

Glass intraocular foreign body removal with a nitinol stone basket

Francis

Zhu

et al. 2019

American Journal of Ophthalmology Case Reports

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Purpose Glass intraocular foreign bodies (IOFBs) complicate up to 14% of all IOFB cases and require specialized instruments for removal. We present a case of ocular trauma with two large glass IOFBs removed using a nitinol stone basket (NSB) designed for kidney stone extraction in the ureter and calyces. Observations An adult male suffered a restrained motor vehicle accident. Radiographic computed tomography identified a 9-mm polygonal IOFB within the posterior segment of the right eye. A staged procedure was performed with repair of the ruptured globe followed by 23-gauge pars plana vitrectomy, pars plana lensectomy, and removal of the IOFBs using a NSB. Conclusion At post-operative month one, visual acuity was correctable to 20/60. The retina remained attached and the patient was recovering without complication. Importance Large glass IOFBs are poorly gripped by standard ophthalmic forceps due to their smooth surface, large size, and irregular shape. The NSB is an effective instrument for controlled removal of glass IOFBs. Further customized design may adapt this device for additional intraocular procedures.

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Use of Tipless Kidney Stone Basket for Removal of Intraocular Foreign Bodies or Dislocated Cataract in Eyes With Posterior Staphyloma

Cited by 7 publications

References 3 publications

Eckardt Forceps Tip Widening for the Removal of Posterior Intraocular Foreign Bodies Bigger Than 1 mm

Eckardt Forceps Tip Widening for the Removal of Posterior Intraocular Foreign Bodies Bigger Than 1 mm

A Simple, Inexpensive, “Modified Lasso” for Removal of Smooth, Spherical Intraocular Foreign Bodies

Glass intraocular foreign body removal with a nitinol stone basket

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