Handshake technique for removal of fluocinolone acetonide implant from the vitreous cavity

We describe a simple technique for removing fluocinolone acetonide (FAc) implant using 25 G instrumentation in an eye with uncontrolled glaucoma. The technique involved freeing the implant from the pars plana, lifting it from the posterior pole with 25G+Grieshaber Maxgrip forceps and transferring it to another forceps. The implant was then realigned coaxially and successfully removed through a 25G cannula without getting it dislodged. Fluocinolone implant could be safely removed through 25 G cannula in toto, and removal resulted in good control of intraocular pressure at 3-month and 9-month follow-up. This innovative bimanual handshake technique to transfer and realign the implant coaxially is a quicker and safer way to remove FAc implant, which avoids removing the cannula and thereby retains all advantages of 25G cannula, including better sclerotomy closure.