Surgical removal of intravitreal glass foreign bodies using nephrolith and sialolith baskets

Authors:
  • NBNishay V. Bhatnagar Ba
    Nishay V. Bhatnagar Ba
  • SLSydney B. Langer
    Sydney B. Langer
  • OGOrlando G. Gonzalez-Martinez
    Orlando G. Gonzalez-Martinez
  • SOSimran Ohri
    Simran Ohri
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Abstract
Purpose: To describe a case in which a large intraocular glass fragment was successfully retrieved using a basket device originally designed for kidney stone extraction. Methods: Retrospective case report. Case: A 17-year-old male presented four days after open globe repair following a motor vehicle accident with a large intravitreal glass fragment measuring 5 × 4 × 3.5 mm³. Surgical management included pars plana lensectomy and vitrectomy. A four-prong nephrolithiasis basket was ultimately successful in retrieving the thick, smooth-surfaced glass fragment after conventional instruments failed to achieve extraction. Conclusion: Removal of large, smooth intraocular glass or spherical plastic foreign bodies presents a significant surgical challenge. A kidney stone basket device may serve as an effective alternative for the removal of bulky foreign bodies that are too large or slippery to be securely grasped with conventional forceps.

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