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Journal of Ophthalmology
Volume 2011 (2011), Article ID 940323, 4 pages
http://dx.doi.org/10.1155/2011/940323
Case Report

Successful Removal of Large Intraocular Foreign Body by 25-Gauge Microincision Vitrectomy Surgery

1Department of Ophthalmology and Visual Science, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan
2Division of Visual Advanced Medicine, Tohoku University Graduate School of Medicine, Sendai 980-8574, Japan

Received 30 October 2010; Accepted 23 February 2011

Academic Editor: Edward Manche

Copyright © 2011 Hiroshi Kunikata et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We describe a new technique for removing a large intraocular foreign body by 25-gauge microincision vitrectomy surgery (25G-MIVS). Noncomparative interventional case series were performed at a single centre. Two patients with a long smooth intraocular vitreal foreign body underwent phacoemulsification and aspiration, intraocular lens implantation, 25G-MIVS, and extraction of the foreign body. The foreign body was removed through a posterior capsulorhexis, anterior continuous curvilinear capsulorhexis, and a corneal incision. In both cases, the foreign body was safely removed through the corneal incision, and IOL was implanted and well positioned. The surgical incision did not require suturing. No postoperative complications associated with this technique were found. The corneal endothelial cell density was maintained over 2000 cells/mm2 in both cases during recent follow-up examinations. Our findings indicate that 25G-MIVS with this technique can be used to extract a long slender smooth foreign body. It is safe, without complications, and can be performed without enlarging the 25-gauge sclerotomy.