- Email: [email protected]
Corneoscleral Suturing Forceps
306
NOTES, CASES, INSTRUMENTS
to each lash of the upper lid and the nit of each lash was slid along from the base to the tip of the lash and thus removed. This procedure was carried out until examination under the slitlamp revealed that all the nits had been removed. T h e patient was instructed to massage eserine eye ointment into the lid margins twice daily and to apply a lotion consisting of D D T and benzyl benzoate to the scalp and remainder of his body. H e was also advised to instill one drop of T e r r a Cortril ophthalmic suspension into the conjunctival sac every two hours while he was awake. W h e n the patient returned for follow-up evaluation five days later, the eyes appeared perfectly normal. All ocular and general symptoms attributable to the infestation with lice had completely disappeared. SUMMARY
A case of unilateral phthiriasis palpebrarum has been presented. Effective treat ment consisted of the manual removal of all nits from involved lashes together with gen eralized treatment—of the scalp, the pubic area, and the remainder of the body—with D D T and benzyl benzoate. Eserine eye oint ment was utilized as originally suggested by Cogan.* 277 Alexander Street. * Cogan, D. G., and Grant, W.: Treatment of pediculosis ciliaris with anticholinesterase agents. Arch. Ophth., 41:627-628, 1949.
CORNEOSCLERAL SUTURING FORCEPS H A R R Y GOLDBERG, M.D., BERNARD
GOLDBERG,
AND M.D.
Jamaica, New York In suturing fine tissues, such as the cornea, it is important that trauma is minimized and
Fig. 1. (Goldberg and Goldberg). Comeoscleral suturing forceps. accuracy of placement is maximum. In tis sues grasped at one point with present corneal suturing forceps, there is a tendency to drag on the cornea when inserting the needle, with consequent damage to the cornea. H o w ever, if the tissue to be sutured (cornea or sclera, or both) is fixed at two points, there is much less probability of bending or lacer ating the cornea, and the grasp on the cornea can be lessened. T h e forceps we are presenting allows this to be done. T h e head of the forceps has two sets of teeth two mm. apart. It is a two (bot tom) to one (top) arrangement, being pointed obliquely out at 45 degrees. T h e teeth are fine (0.5 m m . ) and sharp (fig. 1-A). T h e neck and shaft have a curvature of about 10 degrees so that the operator's hand can be held in a comfortable position while grasping the cornea, that is, it does not have to be in the same horizontal plane as the edge of the cornea (fig. 1-B and C ) . T h e r e is an angle between the head and the shaft of about 120 degrees so that when the operator holds the forceps the view of the tissue, needle, and holder is not obstructed. T h e posterior por tion of the head is wider than the anterior portion where the teeth are located to give the operator more room to maneuver the needle holder and needle (fig. 1-B). There are two stops to prevent excessive pressure in grasp ing the cornea or sclera (fig. 1-C). These forceps can also be used in trau matic lid repairs and plastic procedures to minimize trauma to fine lacerated skin edges. 88-02 150 Street (35).
NOTES, CASES, INSTRUMENTS
to each lash of the upper lid and the nit of each lash was slid along from the base to the tip of the lash and thus removed. This procedure was carried out until examination under the slitlamp revealed that all the nits had been removed. T h e patient was instructed to massage eserine eye ointment into the lid margins twice daily and to apply a lotion consisting of D D T and benzyl benzoate to the scalp and remainder of his body. H e was also advised to instill one drop of T e r r a Cortril ophthalmic suspension into the conjunctival sac every two hours while he was awake. W h e n the patient returned for follow-up evaluation five days later, the eyes appeared perfectly normal. All ocular and general symptoms attributable to the infestation with lice had completely disappeared. SUMMARY
A case of unilateral phthiriasis palpebrarum has been presented. Effective treat ment consisted of the manual removal of all nits from involved lashes together with gen eralized treatment—of the scalp, the pubic area, and the remainder of the body—with D D T and benzyl benzoate. Eserine eye oint ment was utilized as originally suggested by Cogan.* 277 Alexander Street. * Cogan, D. G., and Grant, W.: Treatment of pediculosis ciliaris with anticholinesterase agents. Arch. Ophth., 41:627-628, 1949.
CORNEOSCLERAL SUTURING FORCEPS H A R R Y GOLDBERG, M.D., BERNARD
GOLDBERG,
AND M.D.
Jamaica, New York In suturing fine tissues, such as the cornea, it is important that trauma is minimized and
Fig. 1. (Goldberg and Goldberg). Comeoscleral suturing forceps. accuracy of placement is maximum. In tis sues grasped at one point with present corneal suturing forceps, there is a tendency to drag on the cornea when inserting the needle, with consequent damage to the cornea. H o w ever, if the tissue to be sutured (cornea or sclera, or both) is fixed at two points, there is much less probability of bending or lacer ating the cornea, and the grasp on the cornea can be lessened. T h e forceps we are presenting allows this to be done. T h e head of the forceps has two sets of teeth two mm. apart. It is a two (bot tom) to one (top) arrangement, being pointed obliquely out at 45 degrees. T h e teeth are fine (0.5 m m . ) and sharp (fig. 1-A). T h e neck and shaft have a curvature of about 10 degrees so that the operator's hand can be held in a comfortable position while grasping the cornea, that is, it does not have to be in the same horizontal plane as the edge of the cornea (fig. 1-B and C ) . T h e r e is an angle between the head and the shaft of about 120 degrees so that when the operator holds the forceps the view of the tissue, needle, and holder is not obstructed. T h e posterior por tion of the head is wider than the anterior portion where the teeth are located to give the operator more room to maneuver the needle holder and needle (fig. 1-B). There are two stops to prevent excessive pressure in grasp ing the cornea or sclera (fig. 1-C). These forceps can also be used in trau matic lid repairs and plastic procedures to minimize trauma to fine lacerated skin edges. 88-02 150 Street (35).