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A new foreign body forceps designed for the removal of most types of intraocular foreign bodies

Session Details

Session Title: Quick Fire Free Paper 1

Session Date/Time: Thursday 11/09/2014 | 08:00-10:00

Paper Time: 09:15

Venue: Boulevard D

First Author: : N.Acar TURKEY

Co Author(s): :                  

Abstract Details

Purpose:

Intraocular foreign bodies may be in different shapes and size, which make them difficult to be removed with the routine forceps at hand during pars plana vitrectomy (ppv). Intraocular magnets are also limited to magnetic IOFBs only. Another concern is that although IOFBs are grasped efficiently they sometimes drop back into the viterous during their removal from the exit site, and may cause iatrogenic trauma to retina. The purpose of this presentation is to demonstrate a new foreign body forceps designed for the removal of many kinds of IOFBs to overcome these issues.

Setting:

Hospital based-setting.

Methods:

The shape, dimensions of the new designed foreign body forceps is demonstrated. The mechanism of how it works will be shown using different types of foreing bodies as a simulation in the OR setting. This forceps allows firm grasping of IOFBs and inhibits their fall during removal maneouvers. This forceps is also efficient to grasp a dislocated nucleus in the vitreus and to chop it so that the pieces can be removed by a 23-gauge vitrector in case an endofragmatome is not available at hand.

Results:

This 20-gauge new designed FB forceps effectively grasps small or large IOFBs, with different shapes, both metallic and nonmetallic. The use of bimanual technique in which the IOFB is captured with this new FB forceps while another forceps at the nondominant hand helps to locate it provides better control; enables the surgeon to place the IOFB along the desired axis of the FB forceps, so the IOFB can be removed through a shorter incision.This may decrease surgical trauma at the incision site.This new designed forceps adds additional control and safety for the surgeon as it enables tight grasping of any kind of FB avoiding the risk of falling back of the IOFB into the eye during its removal. It also can effectively capture and chop a dislocated nucleus into smaller pieces.

Conclusions:

The new designed 20-gauge foreign body forceps is effective, and safe in removal of intraocular FBs with different shape and sizes. It allows tight grasping of any kind of IOFBs avoiding the risk of falling back of the IOFB into eye during its removal, and adds additional control and safety for the surgeon. It may also be used to grasp and chop a dislocated nucleus during vitrectomy in case an endofragmatome is not available at hand.

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