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Recession Forceps*
NOTES, CASES, INSTRUMENTS two ways (figs. 1 and 2). The method illus trated in Figure 2 is particularly applicable in certain circumstances. When inserting scierai sutures posterior to the limbus, the instrument is held like a pencil which directs the jaws conveniently downward. This al lows the surgeon to direct the instrument posteriorly without bending the wrist into an awkward position. 1001 Gayley Avenue.
RECESSION FORCEPS* D U P O N T GUERRY, III,
M.D.
Richmond, Virginia For the past several years I have used a recession forceps of somewhat unique de sign. The forceps has a grip for both the middle and index finger and a push button for thumb action. The jaws, in crenelated form, have four notches on each side to facilitate the placing of sutures. There are five projections from the under side of the upper jaw that fit into corresponding female openings in the upper part of the lower jaw, thereby insuring a firm grasp of the muscle tendon. An expanding spring closes the jaws and if one desires absolute security, they may be locked in any position by means of a knurled set screw. When the set screw is in the unlocked position, the jaws are easily opened by pressure on the thumb button. I have found that this instrument has * From the Department of Ophthalmology, Medi cal College of Virginia. The instrument is made by the Matalene Surgical Instrument Company, Inc., successors to E. B. Meyrowitz.
Fig. 1 (Guerry). Recession forceps with open jaws.
167
Fig. 2 (Guerry). Magnified view of jaws, showing notches for placing sutures. greatly facilitated horizontal recession sur gery, both as to ease and speed of applica tion and removal. The instrument is easily dismantled for cleaning and holds up ex traordinarily well in service. The original forceps, now over three years old, is still in service. The forceps come in two sizes, one for adults and one for children, the only difference being that the blade in the children's forceps is two mm. shorter than that in the adult instrument.
LENS-IRIS FORCEPS* FOR CATARACT EXTRACTION A. BENEDICT RIZZUTI,
M.D.
Brooklyn, New York With the advent of alpha chymotrypsin, lens removal can now be accomplished with greater facility. The enzymatic zonulolysis that results has altered certain standard techniques of cataract extraction that were routinely employed by a large number of ophthalmic surgeons. This is particularly true of the tumbling technique. Alpha chymotrypsin may very well tend to increase the popularity of the sliding technique from above because it provides greater visibility. It may also make more popular round pupil cataract extraction. The surgical procedure can be further simplified with the use of proper iris retrac tion. To accomplish this, I previously sug gested and described1 a lens forceps with a * From the Brooklyn Eye and Ear Hospital. t Rizzuti, A. B. : A lens forceps with iris re tractor: For round pupil cataract operation. Am. J. Ophth. 45:277 (Feb.) 1958.
RECESSION FORCEPS* D U P O N T GUERRY, III,
M.D.
Richmond, Virginia For the past several years I have used a recession forceps of somewhat unique de sign. The forceps has a grip for both the middle and index finger and a push button for thumb action. The jaws, in crenelated form, have four notches on each side to facilitate the placing of sutures. There are five projections from the under side of the upper jaw that fit into corresponding female openings in the upper part of the lower jaw, thereby insuring a firm grasp of the muscle tendon. An expanding spring closes the jaws and if one desires absolute security, they may be locked in any position by means of a knurled set screw. When the set screw is in the unlocked position, the jaws are easily opened by pressure on the thumb button. I have found that this instrument has * From the Department of Ophthalmology, Medi cal College of Virginia. The instrument is made by the Matalene Surgical Instrument Company, Inc., successors to E. B. Meyrowitz.
Fig. 1 (Guerry). Recession forceps with open jaws.
167
Fig. 2 (Guerry). Magnified view of jaws, showing notches for placing sutures. greatly facilitated horizontal recession sur gery, both as to ease and speed of applica tion and removal. The instrument is easily dismantled for cleaning and holds up ex traordinarily well in service. The original forceps, now over three years old, is still in service. The forceps come in two sizes, one for adults and one for children, the only difference being that the blade in the children's forceps is two mm. shorter than that in the adult instrument.
LENS-IRIS FORCEPS* FOR CATARACT EXTRACTION A. BENEDICT RIZZUTI,
M.D.
Brooklyn, New York With the advent of alpha chymotrypsin, lens removal can now be accomplished with greater facility. The enzymatic zonulolysis that results has altered certain standard techniques of cataract extraction that were routinely employed by a large number of ophthalmic surgeons. This is particularly true of the tumbling technique. Alpha chymotrypsin may very well tend to increase the popularity of the sliding technique from above because it provides greater visibility. It may also make more popular round pupil cataract extraction. The surgical procedure can be further simplified with the use of proper iris retrac tion. To accomplish this, I previously sug gested and described1 a lens forceps with a * From the Brooklyn Eye and Ear Hospital. t Rizzuti, A. B. : A lens forceps with iris re tractor: For round pupil cataract operation. Am. J. Ophth. 45:277 (Feb.) 1958.