The claw: A novel intraocular foreign body removal forceps

Removal of intraocular foreign body (IOFB) from the posterior segment of the eye is challenging. In addition to surgical skill, it requires specific instrumentation to grasp and remove the IOFB. Small metallic IOFB can be removed using intraocular rare earth magnets but metallic IOFB larger than 3 m...

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Main Authors: Maneesh Bapaye, Mahesh P Shanmugam, Natarajan Sundaram
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2018;volume=66;issue=12;spage=1845;epage=1848;aulast=Bapaye
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author Maneesh Bapaye
Mahesh P Shanmugam
Natarajan Sundaram
author_facet Maneesh Bapaye
Mahesh P Shanmugam
Natarajan Sundaram
author_sort Maneesh Bapaye
collection DOAJ
description Removal of intraocular foreign body (IOFB) from the posterior segment of the eye is challenging. In addition to surgical skill, it requires specific instrumentation to grasp and remove the IOFB. Small metallic IOFB can be removed using intraocular rare earth magnets but metallic IOFB larger than 3 mm and nonmetallic IOFBs like shot gun pellets, stones, or large glass fragments require specialized IOFB grasping forceps for removal. We describe the design and case-based clinical applications of a novel IOFB removal forceps, “the claw” that consists of a titanium handle and a 27-mm, 19-G metallic shaft that houses four retractable prongs made of nitinol wire. When completely extended, the prongs measure 14 mm in length and open up to 8–8.5 mm in the widest extent. The four prongs offer a very secure grip without crushing or splintering the IOFB leading to minimal chances of IOFB slippage and inadvertent retinal trauma.
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spelling doaj.art-8ad86983678041efb0a8961a1885fe252022-12-22T00:57:39ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892018-01-0166121845184810.4103/ijo.IJO_759_18The claw: A novel intraocular foreign body removal forcepsManeesh BapayeMahesh P ShanmugamNatarajan SundaramRemoval of intraocular foreign body (IOFB) from the posterior segment of the eye is challenging. In addition to surgical skill, it requires specific instrumentation to grasp and remove the IOFB. Small metallic IOFB can be removed using intraocular rare earth magnets but metallic IOFB larger than 3 mm and nonmetallic IOFBs like shot gun pellets, stones, or large glass fragments require specialized IOFB grasping forceps for removal. We describe the design and case-based clinical applications of a novel IOFB removal forceps, “the claw” that consists of a titanium handle and a 27-mm, 19-G metallic shaft that houses four retractable prongs made of nitinol wire. When completely extended, the prongs measure 14 mm in length and open up to 8–8.5 mm in the widest extent. The four prongs offer a very secure grip without crushing or splintering the IOFB leading to minimal chances of IOFB slippage and inadvertent retinal trauma.http://www.ijo.in/article.asp?issn=0301-4738;year=2018;volume=66;issue=12;spage=1845;epage=1848;aulast=BapayeLarge intraocular foreign bodynonmagnetic intraocular foreign bodysphericalthe claw
spellingShingle Maneesh Bapaye
Mahesh P Shanmugam
Natarajan Sundaram
The claw: A novel intraocular foreign body removal forceps
Indian Journal of Ophthalmology
Large intraocular foreign body
nonmagnetic intraocular foreign body
spherical
the claw
title The claw: A novel intraocular foreign body removal forceps
title_full The claw: A novel intraocular foreign body removal forceps
title_fullStr The claw: A novel intraocular foreign body removal forceps
title_full_unstemmed The claw: A novel intraocular foreign body removal forceps
title_short The claw: A novel intraocular foreign body removal forceps
title_sort claw a novel intraocular foreign body removal forceps
topic Large intraocular foreign body
nonmagnetic intraocular foreign body
spherical
the claw
url http://www.ijo.in/article.asp?issn=0301-4738;year=2018;volume=66;issue=12;spage=1845;epage=1848;aulast=Bapaye
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