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To report and demonstrate removal of an intraocular metallic spherical pellet and to describe the construction of a basket instrument. A 9-year-old boy sustained a pellet gun injury and underwent pars plana vitrectomy to remove an intraocular spherical metallic pellet. A suture loop basket constructed with 3-O nylon and 16-gauge intravenous cannula was used to grasp and remove the foreign body. The pellet was mobilized from a subretinal position and effectively captured in the basket using the light pipe as a second instrument. The captured pellet was successfully removed without slippage via a scleral tunnel incision. Despite reattachment of the retina under silicone oil, the vision deteriorated to no light perception. A simple, readily available basket can be constructed for the effective removal of spherical foreign bodies which are difficult to grasp.


James C Rice, Jonel Steffen, Tamara Nyaka, Dean van der Westhuizen. A SIMPLE, INEXPENSIVE, "MODIFIED LASSO" FOR REMOVAL OF SMOOTH, SPHERICAL INTRAOCULAR FOREIGN BODIES. Retinal cases & brief reports. 2022 May 01;16(3):322-324

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PMID: 31971922

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