Ozkaya A, Cakir I, Tarakcioglu H N
Beyoglu Eye Training and Research Hospital, Bereketzade Cami Sok, 34421 Beyoglu, Istanbul, Turkey.
J Fr Ophtalmol. 2019 Feb;42(2):109-117. doi: 10.1016/j.jfo.2018.08.001. Epub 2019 Jan 22.
To evaluate the outcomes of bimanual intraocular foreign body (IOFB) removal with vitrectomy and describe the techniques of "active aspiration to forceps" and "forceps to forceps handshake" for IOFB removal.
Retrospective, interventional, single surgeon case series. The patients who had an IOFB and underwent vitrectomy with bimanual IOFB removal techniques and had a minimum follow-up period of 12 months were included. The main outcome measure was the functional and anatomical results of the bimanual surgical techniques.
Twenty eyes were included. The mean follow-up time after surgery was 16.5±3.6 months (range 12-24 months). The baseline best corrected visual acuity (BCVA) was light perception in 8 eyes (40%), hand motions in one eye (5%), and≥1.0LogMAR in 11 eyes (55%). BCVA improved in 14 eyes (70%); was stable in 3 eyes (15%), and decreased in 3 eyes (15%).
Both bimanual handshake techniques were safe and effective methods in the surgical treatment of IOFBs<5mm in size. The "active aspiration to forceps handshake" technique might be a gentle technique for the removal of IOFBs that are located on the surface of or trapped within the retina.
评估玻璃体切除双手摘除眼内异物（IOFB）的效果，并描述“主动吸引至镊子”和“镊子对镊子握手式”摘除IOFB的技术。
回顾性、介入性、单术者病例系列研究。纳入有IOFB且采用双手摘除技术行玻璃体切除术并至少随访12个月的患者。主要观察指标是双手手术技术的功能和解剖学结果。
纳入20只眼。术后平均随访时间为16.5±3.6个月（范围12 - 24个月）。基线最佳矫正视力（BCVA）为8只眼（40%）光感，1只眼（5%）手动，11只眼（55%）≥1.0 LogMAR。14只眼（70%）BCVA改善；3只眼（15%）稳定，3只眼（15%）下降。
两种双手握手式技术都是治疗直径<5mm的IOFB的安全有效方法。“主动吸引至镊子握手式”技术可能是一种轻柔的技术，用于摘除位于视网膜表面或陷入视网膜内的IOFB。
