Intraocular Foreign Body Removal by 23-Gauge Micro Incision Vitrectomy Surgery and Back Flush Flute Needle: A Case Series Study

BACKGROUND: This study aimed to consider a new technique to extract an intraocular foreign body by 23-gauge micro incision vitrectomy surgery (23G-MIVS).

METHOD: This case series was done on Patients with intraocular foreign bodies and cataract during 2012-2015 in Tabriz University of Medical Sciences. Phacoemulsification and aspiration of lens nucleus, intraocular lens implantation, 23G-MIVS, and extraction of the foreign body were performed on patients. The foreign body was removed through a posterior capsulor hexis, anterior continuous curvilinear capsulorhexis, and a corneal incision. In all cases, the foreign body was safely removed through the corneal incision with back flush Flute Needle, and IOL was implanted and well positioned. The surgical incision did not require suturing.

RESULTS: This technique was successful for the patients and the corneal endothelial cell density was maintained over 2000 cells/mm2 in all cases during recent follow-up examinations.

CONCLUSION: We found that 23G-MIVS with this technique is suitable to remove the foreign body. It is safe, without complications, and can be used without enlarging the 23-gauge sclerotomy.