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An Individual Eye-Dressing Caddy*
NOTES, C A S E S ,
714
COMBINED PUNCTUM DILATOR AND L A C R I M A L CANAL IRRIGATOR BENJAMIN FRIEDMAN, Νετυ
M.D.
York
In 1941, I devised a needle which could be used to dilate the punctum and to irrigate the lacrimal canal in one operation. It was formed by telescoping sections of gradually narrowed tubes into each other, the ultimate section fine enough to fit into the average punctum. The needle was difficult to make and was somewhat expensive. There is now available, at low cost, an adapter which urologists employ to couple the ureteral catheter with the irrigating syr inge. The adapter has the same general shape as my original needle. The end may be dressed to a very fine tip or it may be ex tended 1.0 to 2.0 mm as a fine straight tube. Part of the needle may thus lie in the soft canaliculus before dilatation of the punctum progresses. For the small punctum which requires an exceedingly fine point, the needle utilizes a stiff wire stylet. This projects beyond the needle tip about 0.5 mm. The needle is led into the punctum by the wire and the punc tum is then dilated. The stylet is then with drawn while the needle is held in place; a loaded syringe is now connected with the needle. The stylet may be used to clean the needle and is kept within its lumen when not in use. 1 East 105th Street (29).
INSTRUMENTS
dressing caddy is for use in hospitals in which eye patients are assigned to several different wards. It eliminates carrying a heavy dressing tray from patient to patient or maintaining special sterile eye-dressing trays on several wards and insures against cross-contamination of instruments or medi cations. A standard one-quart plastic refrigerator box, 4.5 by 4.5 by 4.0 inches, is provided with tubes of ophthalmic ointment, sterile eye patches, packages of sterile gauze, a small plastic box of "Minims"* of various eye medicines, a pair of sterile eye scissors, a 60-cc plastic dropper bottle of sterile saline and a small roll of plastic tape (fig. 1 ) . The actual contents of the caddy can be varied according to the individual surgeon's needs and desires. A number of these boxes are kept in the operating room. They are stocked with ev erything but the ointments, which are put in the caddy after being freshly opened and used at the completion of the operation. A name tape is then stuck to the lid of the box and it is returned to the ward with the patient and kept at the bedside. When the patient is discharged, the caddy is returned to the operating room where it is readied for re-issue. Gorgas Hospital, Ancon. t A Barnes-Hind product.
AN INDIVIDUAL EYE-DRESSING CADDY* ROBERT H. Balboa
This * From Hospital.
Heights,
simple, the
RUPP,
M.D.
Canal
Zone
light-weight,
Ophthalmology
inexpensive
Service,
Gorgas Fig. 1 (Rupp). Eye-dressing caddy with supplies.
714
COMBINED PUNCTUM DILATOR AND L A C R I M A L CANAL IRRIGATOR BENJAMIN FRIEDMAN, Νετυ
M.D.
York
In 1941, I devised a needle which could be used to dilate the punctum and to irrigate the lacrimal canal in one operation. It was formed by telescoping sections of gradually narrowed tubes into each other, the ultimate section fine enough to fit into the average punctum. The needle was difficult to make and was somewhat expensive. There is now available, at low cost, an adapter which urologists employ to couple the ureteral catheter with the irrigating syr inge. The adapter has the same general shape as my original needle. The end may be dressed to a very fine tip or it may be ex tended 1.0 to 2.0 mm as a fine straight tube. Part of the needle may thus lie in the soft canaliculus before dilatation of the punctum progresses. For the small punctum which requires an exceedingly fine point, the needle utilizes a stiff wire stylet. This projects beyond the needle tip about 0.5 mm. The needle is led into the punctum by the wire and the punc tum is then dilated. The stylet is then with drawn while the needle is held in place; a loaded syringe is now connected with the needle. The stylet may be used to clean the needle and is kept within its lumen when not in use. 1 East 105th Street (29).
INSTRUMENTS
dressing caddy is for use in hospitals in which eye patients are assigned to several different wards. It eliminates carrying a heavy dressing tray from patient to patient or maintaining special sterile eye-dressing trays on several wards and insures against cross-contamination of instruments or medi cations. A standard one-quart plastic refrigerator box, 4.5 by 4.5 by 4.0 inches, is provided with tubes of ophthalmic ointment, sterile eye patches, packages of sterile gauze, a small plastic box of "Minims"* of various eye medicines, a pair of sterile eye scissors, a 60-cc plastic dropper bottle of sterile saline and a small roll of plastic tape (fig. 1 ) . The actual contents of the caddy can be varied according to the individual surgeon's needs and desires. A number of these boxes are kept in the operating room. They are stocked with ev erything but the ointments, which are put in the caddy after being freshly opened and used at the completion of the operation. A name tape is then stuck to the lid of the box and it is returned to the ward with the patient and kept at the bedside. When the patient is discharged, the caddy is returned to the operating room where it is readied for re-issue. Gorgas Hospital, Ancon. t A Barnes-Hind product.
AN INDIVIDUAL EYE-DRESSING CADDY* ROBERT H. Balboa
This * From Hospital.
Heights,
simple, the
RUPP,
M.D.
Canal
Zone
light-weight,
Ophthalmology
inexpensive
Service,
Gorgas Fig. 1 (Rupp). Eye-dressing caddy with supplies.