Silicone Oil-Assisted Removal of Large Intraocular Foreign Bodies.

Q3 Medicine

Retinal Cases and Brief Reports Pub Date : 2026-10-23 DOI:10.1097/ICB.0000000000002006

Jesus Hernan Gonzalez-Cortes, Javier Alan Garza-Chavarria, Alper Bilgic, Aditya Sudhalkar, Wenceslao Pacheco Treviño, Jesus Emiliano Gonzalez-Cantu, Jesus Mohamed Hamsho

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Abstract

Purpose: To describe a silicone oil-assisted technique for removal of large intraocular foreign bodies (IOFBs) through an enlarged sclerotomy.

Methods: Description of the surgical technique in two pediatric patients with large posterior-segment IOFBs.

Results: Two pediatric patients had large IOFBs, one involving the macular area and the other in the subretinal space. Because of the size of the IOFBs, an air/silicone oil (SO) exchange was performed before extraction. An enlarged sclerotomy was created, and the IOFB was removed with retinal forceps in one case and an external magnet in the other.

Conclusions: Removal of a large IOFB through an enlarged sclerotomy may cause substantial loss of ocular stability when the eye is maintained with active balanced salt solution infusion. SO tamponade before extraction may reduce rapid fluid egress, help maintain globe configuration, and facilitate controlled IOFB removal.

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硅油辅助去除眼内大型异物。

目的：介绍一种硅油辅助下通过扩大巩膜切开术去除大眼内异物的技术。方法：对2例儿童后节段大IOFBs的手术技术进行描述。结果：2例儿童患者均有较大的IOFBs， 1例累及黄斑区，另1例累及视网膜下间隙。由于iofb的大小，在提取前进行空气/硅油（SO）交换。我们做了一个扩大的巩膜切开术，一个病例用视网膜钳取出IOFB，另一个病例用外部磁铁取出。结论：通过扩大的巩膜切开术切除大IOFB可能会导致眼部稳定性的严重丧失，当眼睛维持在主动平衡盐溶液输注下时。在提取前进行SO填塞可以减少流体的快速排出，有助于维持球体结构，并有助于控制IOFB的移除。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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