Standard Vitrectomy Instrumentation Tray

Standard Vitrectomy Instrumentation Tray

Index and photography by: Jordan M. Graff, MD

The University of Iowa
Department of Ophthalmology and Visual Sciences

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)
  • Colibri Forceps Close Up
• Standard "Smooth" Dressing Straight Forceps
  • Standard "Smooth" Forceps Close Up
• Storz Tying Forceps ("Heavy Ties")
  • Storz Tying Forceps ("Heavy Ties") Close Up
• Curved Tying Forceps
  • Curved Tying Forceps Close Up
• Nugent Utility Forceps with Smooth Jaw
  • Nugent Utility Forceps Close Up
• McPherson Iris Forceps Tying Strait ("Strait Ties")
  • McPherson Iris Forceps Tying Strait ("Strait Ties") Close Up
• McPherson Iris Forceps Tying Angled ("Angled Ties")
  • McPherson Iris Forceps Tying Angled ("Angled Ties") Close Up
• Plug Forceps Cross Action ("Plug Puller")
• Castroviejo Suturing Forceps 0.12
  • Castroviejo Suturing Forceps 0.12 Close Up
• 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
  • Wescott Tenotomy Scissors Blunt Close Up
• McPherson Vannas Iris Scissors Angled ("Vannas Scissors")
  • McPherson Vannas Iris Scissors Angled Close Up

NeedleHolders

• Castroviejo Delicate Straight Needleholder with Lock
  • Castroviejo Delicate Straight Needleholder with Lock Close Up
• Barraquer Extra-Delicate Curved Needleholder with Lock
  • Barraquer Extra-Delicate Curved Needleholder with Lock Close Up
• Barraquer Extra-Delicate Curved Needleholder without Lock
  • Barraquer Extra-Delicate Curved Needleholder without Lock Close Up

Retractors and Hooks

• Von Graefe Muscle Hook
• Von Graefe Muscle Hook Modified with Eye ("Gass Hook")
• Schepens Orbital Retractor
• Watzke Orbital Retractor
  • Watzke and Schepens side-by-side

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

• Rice Synergetics ILM Pick ("Rice Pick")
  • "Rice Pick" Close Up
• Mentanium Vitreoretinal Blunt Hook ("Michael's Pick")
  • "Michael's Pick" Close Up
• DORC Membrane Spatula
  • DORC Membrane Spatula Close Up
• DORC Membrane Peeler ("Round Ball Pick")
  • DORC "Round Ball Pick" Close Up

last updated: 03-17-2009