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Three techniques useful for removal of intraocular foreign bodies
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FORT LAUDERDALE, Fla. — The handshake technique, the shake magnet technique and the direct removal technique are three effective strategies to remove intraocular foreign bodies from patients with eye injuries, according to a speaker here.
“There are different techniques which can be used in removing the intraocular foreign bodies safely,” Mohamed Tarek Moustafa, MD, FRCS, of Egypt, said at the inaugural Retina World Congress. “The choice of which technique to use depends on the size, nature and site of the foreign body as well as the lens status.”
Mohamed Tarek Moustafa
Moustafa’s presentation was selected as an abstract submission winner at the congress.
Intraocular foreign bodies (IOFB) are commonly found and should be suspected in trauma cases involving firearms, explosions and hammering, Moustafa said.
The injuries have become common in Egypt during times of unrest and have increased “exponentially” with the wide use of homemade flare guns, he said.
CT is a useful tool to detect an IOFB with axial and coronal cuts of 1.5 mm or less, he said. However, MRIs should not be used in cases in which an IOFB may be metallic.
The handshake technique consists of delivering the IOFB to another pair of forceps and removing the material from the eye. For a metallic IOFB, the shake magnet technique uses an external magnet to take the IOFB out through the surgical incision. For a non-metallic IOFB, the direct removal technique uses forceps to remove the IOFB through a sclerotomy, he said. – by Robert Linnehan
Reference:
Moustafa MT. Abstract submission winner presentation: Eye injuries with intraocular foreign bodies removal technique. Presented at: Retina World Congress; Feb. 23-26, 2017; Fort Lauderdale, Fla.
Disclosure: Moustafa reports no relevant financial disclosures.