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经内照明器的眼前段异物取出术中的巩膜正中切开术：一种新的技术。

Midline sclerotomy approach for intraocular foreign body removal in phakic eyes using endoilluminator: A novel technique.

机构信息

Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India.

出版信息

Indian J Ophthalmol. 2018 May;66(5):687-690. doi: 10.4103/ijo.IJO_1090_17.

DOI:10.4103/ijo.IJO_1090_17
PMID:29676316
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5939164/
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.

摘要

目的

本研究旨在描述通过经中线巩膜切开的双手玻璃体切除术从眼内残留异物（RIOFB）中取出。

技术

四例有 RIOFB 和透明晶状体的患者接受了微创玻璃体切除术。通过其中一个现有的端口放置了吊灯照明。通过直接可视化（眼内）或压痕（玻璃体平面）定位异物（FB），通过中线巩膜切开术引入的眼内磁铁/FB 夹稳定 FB，并通过另一个端口双手用玻璃体切割器从所有侧面游离玻璃体，沿其长轴重新定位并从中线巩膜切开术取出。

结果

所有四个 FB 均成功取出，未发生滑脱或对透明晶状体造成损伤。

结论

吊灯照明辅助经中线巩膜切开术 FB 的取出有助于更轻松地定位、稳定和取出 FB，即使在前部 FB （如在玻璃体平面）也避免接触晶状体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24eb/5939164/8417513f86e5/IJO-66-687-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24eb/5939164/e8ae8767cdeb/IJO-66-687-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24eb/5939164/30b299220706/IJO-66-687-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24eb/5939164/8417513f86e5/IJO-66-687-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24eb/5939164/e8ae8767cdeb/IJO-66-687-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24eb/5939164/30b299220706/IJO-66-687-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24eb/5939164/8417513f86e5/IJO-66-687-g003.jpg

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23-gauge vitrectomy with intraocular foreign body removal via the limbus: an alternative approach for select cases.经角膜缘行23G玻璃体切除术联合眼内异物取出术：特定病例的一种替代方法
Indian J Ophthalmol. 2014 Jun;62(6):707-10. doi: 10.4103/0301-4738.116458.
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Management of posteriorly dislocated capsular tension ring with vitrectomy using a "chandelier" illumination system.
使用“吊灯”照明系统行玻璃体切除术治疗后脱位的囊袋张力环
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Management of the posterior segment foreign bodies with a simple snare.用简易圈套器处理眼后段异物
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