In inserting sutures to unite corneal or scleral wounds in cataract extraction, in lamellar scleral resection for retinal detachment, in affixing a donor corneal graft, and in other ocular surgery it is important to facilitate the introduction of the needle and to minimize trauma and displacement of tissues.
A suturing spatula * has been devised (Figure) which facilitates the introduction of the needle and passage of the sutures through the tissues.
The instrument is 100 mm. in length, with a flattened spatula-like expansion at each end, curved to fit the contour of the eyeball. There are several angular notches which may be placed against the point of exit of the needle and holes which may be placed over the needle point for exerting counterpressure. A channel through which the suture may be removed is made in the ring surrounding each hole.
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BERENS C. A Suturing Spatula. AMA Arch Ophthalmol. 1958;59(5):752. doi:10.1001/archopht.1958.00940060136016