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Old Intraretinal IOFB: Remove or Face Siderosis?

Rationale: If a patient is found to have an old, intraretinal, encapsulated IOFB close to the fovea and the eye has full vision, a very difficult dilemma must be faced. Either the IOFB is left in situ or it is to be removed. Leaving it behind saves the patient from all of the possible intraoperative and early postoperative risks, ranging from endophthalmitis to PVR. However, the risk of siderosis will never completely subside, and the...

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Utilization of a New IOFB Forceps

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Purpose: To evaluate the benefits of a new instrument in removing intraocular foreign bodies. Methods: The new instrument was designed to facilitate removal of intraocular foreign bodies that are too large to fit into the traditional Grieshaber intraocular foreign body forceps. The new design was specifically created to allow better...

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My Approach to Metallic IOFB

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Introduction: Ocular trauma associated with intraocular foreign bodies (IOFBs) is one of the major causes of visual impairment in young individuals. Various reports indicate that 18-41% of all open globe injuries involve at least one IOFB. IOFBs may become embedded in the retina posing a challenging situation for vitreoretinal...

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A Case of Subretinal Tubulation

RETINA PHOTO_Kirk Packo A fascinating case of a patient that underwent successful PVR surgery 13 years ago, that then emergently presents with a new complaint that “something is wrong.” The patient is found to have an unusual “subretinal foreign body” that apparently “appeared” in the macula, although was never before seen during prior postop exams. Amazing clinical photos and OCT’s will be shown,...

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A Coral in the Retina

RETINA PHOTO_Cristina Fonseca Clinical Case: 56-year-old woman evaluated in routine ophthalmology consult for progressive right eye visual deterioration. Best-corrected visual acuity was 20/30 in the right eye and 20/20 in the left eye. Biomicroscopy revealed bilateral mild nuclear sclerosis. Right eye fundoscopy showed the presence of an exophytic, multilobulated whitish rounded neoformation, 2 disc diameters in size, located...

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The Entry Wound as Route for Removal of Retained Metallic IOFB Lodged in the Ciliary Body Area

Poster Manoj Saxena The purpose of this video presentation is to report the innovative use of an entry wound for the removal of a retained metallic IOFB lodged in the ciliary body area. The anteriorly placed retained metallic or non-metallic IOFB, especially in the ciliary body region, has always posed a serious surgical challenge both in location and extraction. Endoscopic vitreoretinal surgery comes in handy in this situation, but what if...

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Bimanual Removal of Large Foreign Bodies with the Use of a Suture Loop, and a New Foreign Body Forceps

http://www.dailymotion.com/video/x15yegr Objective / Purpose: IOFBs are common in open-globe injuries and can present in various shapes and sizes. The appropriate instrument for extraction depends on the size, composition, magnetic properties, and location of the IOFB and the presence of associated ocular damage. Although there are several instruments for the removal of IOFBs, including intraocular forceps, and intraocular magnets, they...

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Use of Entry Wound as Route for Metallic IOFB Removal Lodged in the Ciliary Body

The purpose of this video presentation is to report the innovative use of an entry wound for the removal of a retained metallic IOFB lodged in the ciliary body area. The anteriorly placed retained metallic or nonmetallic IOFB, especially in the ciliary body region, has always posed a serious surgical challenge both in location and extraction. Endoscopic vitreoretinal surgery comes in handy in this situation, but what if it is not handy? A...

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A Piece of Steel Removed by 23 Gauge Vitrectomy

An intraocular foreign body (IOFB) must be excluded in all cases of eye perforation. An IOFB may traumatize the eye mechanically, introduce infection or cause other toxic effects (i.e.: siderosis) on the intraocular structures. Once in the eye, the foreign body may lodge in any of the structures (in the antherior chamber, in the angle, in the lens, in the vitreous or on the retina).Some of them are inert but an intraocular ferrous foreign...

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Bimanual Removal of Large Foreign Bodies with a Suture Loop, and a New Foreign Body Forceps

Intaocular foreign bodies (IOFB) can present in various shapes and sizes. Several instruments available can sometimes be of limited use.In this video a suture loop consisting of a 20-gauge angiocatheter and 6-0 polypropylene suture is shown. Its construction is very simple. Also a newly designed IOFB forceps is presented. This suture loop effectively grasps large IOFBs, both metallic and nonmetallic. The use of bimanual technique in which...

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The Yepez Fishnet for Removing Giant Non-Magnetic IOFB

http://www.evrs.eu/medias/2010/videos/JuanBTAYepezM_2_VP6_768K.flv Juan BTA Yepez M, Jazmin Cedeno De Yepez, Maria Cedeno L (Maracaibo, Venezuela) Advantages: 1. Better than other type of tools for removing giant non-magnetic IOFB. 2. Minimize the risk of foreign body drop back. Methods: A 3D video animation was used to demonstrate the “Yepez Fishnet for removing giant non-magnetic IOFB”. Effectiveness / Safety: This new...

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Use of Viscoelastic Materials to Protect the Macula During Removal of Large Posterior Segment Intraocular Foreign Bodies

http://www.evrs.eu/medias/2009/videos/ToukaBanaee_VP6_768K.flv Author: Banaee Touka, Mashhad, Iran Advantages: Protection of macula in case a large foreign body is lost from the forceps during removal. Methods: After completion of vitrectomy and before removal of the foreign body, half of the vitreous cavity is filled with viscoelastic material and then the foreign body is removed. The viscoelastic material can effectively reduce the...

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Management of Intraretinal IOFBs: My way

http://www.evrs.eu/medias/2008/congress/Management-of-Intraretinal-IOFBs:-My-way.flv Ferenc Kuhn, Adrien Solt Advantages: The “comprehensive” – rather than reflex-based – approach to the management of the injured eye allows to surgeon to carefully plan the operation and aim for the best possible outcome. Methods: The surgical strategy involves consideration of not only the intraocular abnormalities already present,...

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Comparison of External Magnet and Intraocular Forceps for Intravitreal Foreign Body Extraction (IVFB)

http://www.evrs.eu/medias/2008/congress/Comparison-of-External-Magnet-and-Intraocular-Forceps-for-Intravitreal-Foreign-Body-Extraction-(IVFB).flv Masoud Soheilian Advantages: The data from this study suggest no preference between external magnet and intraocular forceps for the extraction of magnetic intraravitreal foreign bodies (IVFB). However, the use of external magnet for the extraction of IVFB may offer several advantages, including...

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The Value of an Intraocular Electromagnet in Removing Iron Foreign Bodies in the Posterior Segment

B. Rysanek, M. Robert, C. Billotte Advantages: The use of an intraocular magnet may improve the extraction of an intraocular metallic foreign body smaller than 10mm. Methods: During three-port vitrectomy, the electromagnet is introduced through one port allowing to gently draw the foreign body back from the retina. At the same time, the vitrectomy hand piece is used to release all the vitreous adherences still holding the foreign body in...

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PPV in Patients with Intraocular Foreign Body.

Anita Lyssek-Boron, Edward Wylęgała, Slawomir Teper (OSK Hospital in Katowice, Department of Ophthalmology) – Head: Prof. Edward Wylęgała Aim of the Study: To present and compare treatment results in patients who underwent PPV due to intraocular foreign body (IFB) with or without previous electromagnet IFB extraction. Material & Methods: Retrospective analysis of IFB patients – with IFB in the vitreous or on the retinal...

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Removal of Foreign Body with 23 Gauge: Case Report

I. Turco, V. Primavera, G. Schiena, G. Querques, A. de Giglio, C. Iaculli, N. Delle Noci Advantages: To use 25 gauge vitrectomy to remove little intra-ocular foreign body Methods: Ocular trauma is a major cause of permanent visual loss or blindness in young adults in the western world. We report a case of a 46 year-old man hospitalized for a penetrating wound, after accidental entry of a foreign body. Ultrasound and CT, preferably with...

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Extended Use of Small-gauge Vitrectomy: New Insights

Joao Luiz Lobo Ferreira, MD (Florianopolis, Brazil) SYNOPSIS The extended use of small-gauge vitrectomy with the need to convert one of the sclerotomies to 20-gauge has been described for the use of phacofragmentation for dislocated lens into the vitreous (IVDL), removal of intra-ocular foreign body (IOFB), and for silicone oil (SiO) infusion. New techniques for scleral fixation of IOL, phacocrush for removal of IVDL, removal of IOFB –...

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Surgical Management in Acute Endophthalmitis

Fréderic Rouberol, MD (Lyon, France), Christophe Chiquet, MD (Grenoble, France) SYNOPSIS Treatment of acute endophthalmitis includes intravitreal injection of antibiotics, and pars plana vitrectomy. The surgery is looked at from several angles: removal of inflammatory debris or membranes in the anterior segment, obtaining intraocular specimens sampling, different modes of visualization of the fundus during surgery. After presenting the...

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Intraocular Foreign Body Removal

http://www.evrs.eu/medias/2006/videos/Intraocular-Foreign-Body-Removal.flv Eric D. Weichel, MD (Philadelphia, PA) SYNOPSIS Surgical video of intraocular foreign body removal from soldiers injured in Operation Iraqi Freedom. The video shows  preoperative, intraoperative and postoperative cases of intraocular foreign bodies secondary to combat ocular trauma.

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Bets on Fortune: A Step-by-step Repair of a Lacerated Globe and the OTS

http://www.evrs.eu/medias/2006/videos/Bets-on-Fortune:-A-Step-by-step-Repair-of-a-Lacerated-Globe-and-the-OTS.flv Ivan Fiser, MD (Prague, Czech Republic), Petr Novak, MD (Prague, Czech Republic), Pavel Kuchynka, Prof. MD (Prague, Czech Republic) SYNOPSIS We will correlate the OTS prognosis with surgical results in a seriously damaged eye. A video will show four surgical procedures for a penetrating injury caused by broken glasses. The OTS...

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A Simple Snare Instrument for Intraocular Foreign Bodies

http://www.evrs.eu/medias/2006/videos/A-Simple-Snare-Instrument-for-Intraocular-Foreign-Bodies.flv Tansu Erakgun, MD (Izmir, Turkey) SYNOPSIS Intraocular foreign bodies (IOFB) often produce injuries to a variety of ocular structures in a complex array of patterns and form a risk for infection, retinal detachment and metallosis. Here I report a simple snare instrument formed of a vascular catheter and a prolene suture, used for the removal...

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Microbial Isolates and Sensitivities in Posterior-segment Intraocular Foreign Body (IOFB) Injuries: A 10-year Review

http://www.evrs.eu/medias/2006/congress/Microbial-Isolates-and-Sensitivities-in-Posterior-segment-Intraocular-Foreign-Body-(IOFB)-Injuries:-A-10-year-Review.swf Samuel B Barone, MD (New York, NY), Sean C. Lalin, MD (New York, NY), Mahendra Shah, MS (New York, NY), Steven A. McCormick, MD (New York, NY), Richard B. Rosen, MD (New York, NY), Ronald C. Gentile, MD (New York, NY) PURPOSE: Evaluate the incidence of endophthalmitis and/or...

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