Glass intraocular foreign body removal with a nitinol stone basket
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 ca...
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doaj-24ad2699f5d5479fb74aa327054a47862020-11-25T01:58:25ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362019-12-0116Glass intraocular foreign body removal with a nitinol stone basketAndrew W. Francis0Frances Wu1Ivy Zhu2Daniel de Souza Pereira3Robert B. Bhisitkul4Division of Ophthalmology, NorthShore University HealthSystem, Evanston, IL, USA; The University of Chicago, Pritzker School of Medicine, Chicago, IL, USADepartment of Ophthalmology, University of California San Francisco, San Francisco, CA, USADepartment of Ophthalmology & Visual Sciences, University of Illinois at Chicago, Chicago, IL, USADepartment of Ophthalmology, University of California San Francisco, San Francisco, CA, USADepartment of Ophthalmology, University of California San Francisco, San Francisco, CA, USA; Corresponding author. Department of Ophthalmology University of California San Francisco, 10 Koret Way, K301, San Francisco, CA 94143-0730, USA.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. Keywords: Ntraocular foreign body, Trauma, Open globe, Ruptured globe, Nitinol stone basket, Vitrectomyhttp://www.sciencedirect.com/science/article/pii/S2451993618302718 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Andrew W. Francis Frances Wu Ivy Zhu Daniel de Souza Pereira Robert B. Bhisitkul |
spellingShingle |
Andrew W. Francis Frances Wu Ivy Zhu Daniel de Souza Pereira Robert B. Bhisitkul Glass intraocular foreign body removal with a nitinol stone basket American Journal of Ophthalmology Case Reports |
author_facet |
Andrew W. Francis Frances Wu Ivy Zhu Daniel de Souza Pereira Robert B. Bhisitkul |
author_sort |
Andrew W. Francis |
title |
Glass intraocular foreign body removal with a nitinol stone basket |
title_short |
Glass intraocular foreign body removal with a nitinol stone basket |
title_full |
Glass intraocular foreign body removal with a nitinol stone basket |
title_fullStr |
Glass intraocular foreign body removal with a nitinol stone basket |
title_full_unstemmed |
Glass intraocular foreign body removal with a nitinol stone basket |
title_sort |
glass intraocular foreign body removal with a nitinol stone basket |
publisher |
Elsevier |
series |
American Journal of Ophthalmology Case Reports |
issn |
2451-9936 |
publishDate |
2019-12-01 |
description |
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. Keywords: Ntraocular foreign body, Trauma, Open globe, Ruptured globe, Nitinol stone basket, Vitrectomy |
url |
http://www.sciencedirect.com/science/article/pii/S2451993618302718 |
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