Iowa Standard Vitrectomy Instrumentation
Jordan M. Graff, MD
March 17, 2009
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Introduction: Vitreoretinal surgery is a rapidly advancing field, with increasingly refined microsurgical instrumentation allowing for advanced techniques. Many 23 gauge and 25 gauge instrumentation systems now have a growing array of single-use, disposable instruments. This tutorial represents the standard instrumentation pack that is available to the surgeons at the University of Iowa. While all of the most recent advances in imaging (BIOM wide-angle viewing) and small-guage surgery are also available, the 20 gauge plugs, basic buckle instruments, and Machemer irrigating contact lens on the standard tray indicate that this same basic tray allows for 20 gauge surgery, combined vit/buckle, or traditional viewing systems as needed for more complex surgical cases referred for tertiary vitreoretinal surgical care. There are some minor variations to this standard pack between the Ambulatory Surgery Center (ASC) and the Main Operating Room (MOR). A myriad of picks, forceps, micro-scissors, endolaser probes, and other microsurgical instruments are also available to the surgeon (both disposable and multiple-use). One standard pack of frequently-used 20 gauge micro-picks is displayed below.
Forceps
- Colibri Forceps (with 0.12 Teeth)
- Standard "Smooth" Dressing Straight Forceps
- Storz Tying Forceps ("Heavy Ties")
- Curved Tying Forceps
- Nugent Utility Forceps with Smooth Jaw
- McPherson Iris Forceps Tying Strait ("Strait Ties")
- McPherson Iris Forceps Tying Angled ("Angled Ties")
- Plug Forceps Cross Action ("Plug Puller")
- Castroviejo Suturing Forceps 0.12
- Castroviejo Suturing Forceps 0.30 Close Up
- Castroviejo Suturing Forceps 0.50 Close Up
Scissors
- Probe Point Angled Blade Eye Scissors ("Drape or Utility Scissors")
- Wescott Tenotomy Scissors Blunt
- McPherson Vannas Iris Scissors Angled ("Vannas Scissors")
Needleholders
- Castroviejo Delicate Straight Needleholder with Lock
- Barraquer Extra-Delicate Curved Needleholder with Lock
- Barraquer Extra-Delicate Curved Needleholder without Lock
Retractors and Hooks
- Von Graefe Muscle Hook
- Von Graefe Muscle Hook Modified with Eye ("Gass Hook")
- Schepens Orbital Retractor
- Watzke Orbital Retractor
Miscellaneous
- Barraquer Fenestrated Adult Heavy Wire Eyelid Speculum ("Wire Speculum")
- Ocutome Infusion Stopcock One-Way (Male-Female)
- Ocutome Infusion Adapter (Male-Male)
- Machemer Irrigating Contact Lens
- O'Connor Scleral Depressor and Marker
- Serrefine Dieffenbach Small ("Bulldog")
- Watzke Sleeve Spreading Forceps
| Frequently Used Picks: U of Iowa, 2009 |
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Frequently Used Picks
- Rice Synergetics ILM Pick ("Rice Pick")
- Mentanium Vitreoretinal Blunt Hook ("Michael's Pick")
- DORC Membrane Spatula
- DORC Membrane Peeler ("Round Ball Pick")
