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Glide-Assisted Removal of a Metallic Intraocular Foreign Body
James T Kwan1, Justin D Pennington2, David J Ramsey2
1Department of Ophthalmology, Tufts University School of Medicine, Boston, MA 02111.
Purpose:
To demonstrate how an intraocular lens glide can assist in the removal of a large, complex intraocular foreign body (IOFB).
Methods:
A case report with a surgical video.
Results:
A 29-year-old male presented with an acute, penetrating open-globe injury with a metallic IOFB in the right eye. Emergent open globe repair and metallic IOFB removal was performed. A lens glide was utilized to facilitate the removal of a large, irregularly shaped IOFB by way of the anterior chamber without need to extend a sclerotomy at the pars plana and risk posterior segment complications.
Conclusion:
An anterior segment-based, glide-assisted technique is safe and effective for removing large and irregular IOFBs, especially when traditional grasping tools prove ineffective.
