Vastarella Paola, Bratu Adriana, Sinisi Fabrizio
Ospedale Santa Maria delle Croci Ravenna, Ravenna, Italy.
Ospedale dei Pellegrini di Napoli, Napoli, Italy ; and.
Retina. 2023 Jan 1;43(1):148-151. doi: 10.1097/IAE.0000000000002757. Epub 2020 Jan 22.
To propose a new technique with an "old" tool to allow for better intraocular foreign body (IOFB) grasping and manipulation during mininvasive vitreoretinal surgery.
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.
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.
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.
提出一种利用“旧”工具的新技术，以便在微创玻璃体视网膜手术中更好地抓取和操作眼内异物（IOFB）。
作者在此报告他们对7只诊断为后部IOFB的眼睛所采用的技术，手术包括23G玻璃体切除术，使用术中适当改良的Grieshaber DSP 23G Eckardt镊来抓取IOFB。通过根据IOFB大小扩大镊口咬合来实现这一结果。
在所有患者中，均使用改良的23G Grieshaber Eckardt镊取出IOFB。6例患者进行了晶状体玻璃体联合切除术，IOFB通过角膜晶状体切口排出；1例有晶状体患者通过根据需要延长的巩膜切口取出IOFB。
微创玻璃体视网膜手术中常用的Grieshaber Eckardt镊可用于IOFB手术，通过巩膜或角膜取出异物。对于大于1mm的IOFB，根据IOFB大小扩大镊口咬合可提供牢固且安全的抓取，使手术医生无需更换更大且更具创伤性的器械即可完成手术，减少附带损伤并缩短手术时间。
