A non-magnetic foreign body extractor.

نویسنده

  • H B STALLARD
چکیده

IT is now known that some non-magnetic metal alloys do not remain inert when lodged inside the eye. When such a foreignbody causes irritation, and also when its position in the vitreous seriously interferes with vision, its removal is necessary and justifiable. The surgical approach is through a scleral incision and the instrument passed through this is guided to the foreign-body under ophthalmoscopic view. The disadvantage of cross-action forceps for this purpose is that some vitreous is likely to leak through the scleral incision and to pass the shanks of the forceps when the jaws of this instrument are opened. An alternative is to use a wire-snare made from a hypodermic needle style, the loop of the snare projects from the lumen of an intravenous needle the point of which has been cut off. The free ends of the snare are controlled where these leave the other end of the needle, held in the operator's hand. It is often difficult to engage the snare over the foreign-body and to hold it securely whilst withdrawing the instrument from the vitreous. It is therefore desirable to have an extractor which: (1) takes up the minimum of room, (2) has neat lines with the extractor jaws flush with the hollow shaft through which they pass. (3) is easy to manipulate without moving the shaft of the instrument, (4) has a shaft which will exactly fit the scleral incision, thus allowing no leakage of vitreous whilst the instrument is in the eye. The incision in the sclera is made equal to the circumference of the shaft.

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عنوان ژورنال:
  • The British journal of ophthalmology

دوره 34 8  شماره 

صفحات  -

تاریخ انتشار 1950