To the Editor.
—Whatever the vitreous surgeon's intention with an epiretinal membrane (peeling, segmentation, or delamination), the first step is to create space between the retinal surface and the membrane. I have designed a new instrument to accomplish this task (Figs 1 and 2). This 20-gauge instrument can easily be introduced through the sclerotomy site and does not bend during manipulations. It is made of a special stainless and acid-resistant steel (KO 36) and weighs 20 g. Its handle is 90 mm long, with a diameter of 6 mm, while the intraocular part has a length of 55 mm. The distal end has two bends (60° and 30°) that allow the spatula to slide under a membrane easily and make further manipulations possible without the danger of losing the already freed membrane. The instrument thus unites the advantages of the membrane peeler and the hooked membrane spatula,1 which are
Kuhn F. New Spatula for Epiretinal Membrane Separation. Arch Ophthalmol. 1989;107(3):317. doi:10.1001/archopht.1989.01070010327007