EQUIPPED FOR THE EYE: MY 5 FAVORITE SURGICAL INSTRUMENTS FOR EYE SURGERY IN GENERAL PRACTICE

J. Seth Eaton, VMD, DACVO Cornell University Veterinary Specialists

Desmarres Chalazion Forceps • Stabilization of surgical site

o Provides secure “platform”o Enhances sectility by minimizing

tissue shift• Enhances local hemostasis• Indications/Uses

o Fine needle aspiration/biopsyo Eyelid mass resectiono Entropion surgerieso Eyelid laceration repair

Bishop-Harmon Tissue Forceps • Utility forceps for ocular surgery• Delicate, fine toothed tips• Excellent for grasping delicate tissue• Indications/Uses:

o Any surgery involving: Eyelid Third eyelid Conjunctiva

Stevens Tenotomy Scissors • Utility scissors for ocular surgery• Delicate, narrow blades

o Straight or curved bladeso Blunt or sharp tips

• Indications/Useso Any surgery involving:

Eyelid Third eyelid Conjunctiva

BONUS INSTRUMENT

Barraquer Wire Eyelid Speculum Enhances surgical exposure Retracts and lifts the eyelids Indications/Uses

o Cherry eye surgerieso Conjunctival biopsy/exploreo Any procedure involving:

Third eyelid Conjunctiva Cornea

Jaeger Eyelid Plate Provides a surgical “platform”

o Enhances sectilityo Minimizes tissue shift

Blunt/atraumatic Does not provide hemostasis Indications/Uses

o Eyelid mass resectiono Entropion surgeryo Other blepharoplastyo Eyelid laceration repair

Castroviejo Needle Holder Utility needle holders Use only with suture smaller than 4-0

o Large needles will damagethe blades

Locking or non-locking varieties Indications/Uses

o Any delicate ocular surgery Eyelid/adnexa Third eyelid Conjunctiva

NOTE All instruments listed are re-usable and sterilizable