镍钛诺结石取出器在眼内异物取出中的应用。
Utility of a nitinol stone extractor for intraocular foreign body removal.
作者信息
Huang Ye, Khan Farid, Chang Mark, Conrady Christopher D, Yeh Steven
机构信息
Department of Ophthalmology and Visual Sciences, Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha, NE, USA.
Advanced Urology Centers of New York, West Nyack, NY, USA.
出版信息
Am J Ophthalmol Case Rep. 2023 Aug 22;32:101917. doi: 10.1016/j.ajoc.2023.101917. eCollection 2023 Dec.
PURPOSE
To describe the novel application of a urological instrument, the nitinol stone basket, in the removal of a retained intraocular foreign body (IOFB).
OBSERVATIONS
This is a retrospective case series describing two eyes of two patients presenting with metallic IOFBs after hammering metal-on-metal. Both patients underwent 23-gauge pars plana vitrectomy (PPV) and successful IOFB extraction using the NCircle® Nitinol Tipless Stone Extractor. There were no intraoperative or post-surgical complications. Both patients demonstrated improvement in vision, with most recent postoperative visual acuities of 20/40 and 20/60.
CONCLUSIONS AND IMPORTANCE
The nitinol stone basket may be considered for removal of IOFBs, particularly larger IOFBs that are difficult to grasp with forceps. Our cases add to the literature showing favorable visual outcomes and few complications in the post-operative period using this technique.
目的
描述一种泌尿外科器械——镍钛合金取石篮在取出眼内异物（IOFB）中的新应用。
观察结果
这是一个回顾性病例系列，描述了两名患者在金属与金属锤击后出现金属性眼内异物的两只眼睛。两名患者均接受了23G经平坦部玻璃体切除术（PPV），并使用NCircle®镍钛合金无尖端取石器成功取出眼内异物。术中及术后均无并发症。两名患者视力均有改善，最近一次术后视力分别为20/40和20/60。
结论与意义
对于眼内异物的取出，尤其是难以用镊子夹住的较大眼内异物，可考虑使用镍钛合金取石篮。我们的病例补充了文献，显示使用该技术术后视力预后良好且并发症少。
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