Background:

The Artisan® forceps (DO2-70, Ophtec BV, Groningen, Holland) is a tool that, due to its versatility, has become one of our secret weapons in several procedures in the operating room. This titanium instrument has an opening range of 6 mm, 10 mm length, a flat surface and a bent tip with striations and wings, to enhance and secure the grasp. It was designed to aid in the implantation of iris-claw anterior chamber intraocular lenses.

Purpose:

To describe and demonstrate the use of the Artisan lens forceps in different clinical settings, other than the implantation of Artisan lenses.

Technique & Results:

Our first off label use was in the removal of intraocular foreign bodies (IOFB). Our ‘hand-shake’ technique is a bimanual approach in which an intraocular magnet (Grieshaber 612.10, Alcon, Ft. Worth, TX, USA) is used to grasp and lead the IOFB safely to the Artisan forceps. The tight grasp and shape of the forceps decrease the possibility of incarceration of the IOFB in the corneal wound during removal. The main advantage of our approach is the safety of the removal of the IOFB, reducing the chance of it falling and damaging the retina. Another advantage is the possibility to remove the IOFB through an enlarged corneal incision, without the need of enlarging the scleral incision, thus reducing the trauma to the posterior segment. We also used the forceps to remove a dislocated (subluxated) IOL-capsular bag complex through a corneal incision. A 23-gauge pars plana vitrectomy was subsequently performed and an anterior chamber lens was placed (using the same forceps). In another patient, the capsular bag was ruptured and the IOL was on the posterior vitreous; after pars plana vitrectomy, we pulled the IOL to the anterior chamber and removed it in the same manner, an iris-claw anterior chamber was placed. No complications were observed and all patients regained vision.

Conclusion:

The Artisan forceps is a tool that we have used successfully and found to be useful in an increasing number of challenging situations, and has become truly one of our best friends in the operating room.

Contact Details:

Email: filh1967@gmail.com

Filipe Henriques