Aim: To introduce a novel approach in removal of anterior chamber angle foreign body (ACFB) using a prism contact lens and 23-gauge foreign body forceps.
Methods: Data of 42 eyes of 42 patients who had undergone removal of ACFB using a prism contact lens and 23-gauge foreign body forceps from January 2008 to October 2013 were collected and analyzed. Twenty eyes in group A received the conventional approach by using toothed forceps through corneal limbus incision, and 22 eyes in group B underwent the novel method through the opposite corneal limbus incision.
Results: The success rate of ACFB once removal was 75% (15/20) in group A, and 100% (22/22) in group B. The average operation time of group A was significantly longer compared with group B (34.9±9.88min 22.13±8.85min; <0.05). The average size of corneal limbus incision in group A was significantly larger than that of group B (4.85±1.89 mm 3.95±1.17 mm; <0.05). The corneal limbus incision suturing were conducted in all eyes in group A, and only 5 eyes in group B.
Conclusion: Removal of ACFB using a prism contact lens and 23-gauge foreign body forceps is a safer, more effective, and convenient technique compared with the conventional approach.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5437463 | PMC |
| http://dx.doi.org/10.18240/ijo.2017.05.15 | DOI Listing |
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