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May 1987

A Conjunctival Retractor for Retinal Surgery

Author Affiliations

Durham, NC

Arch Ophthalmol. 1987;105(5):614. doi:10.1001/archopht.1987.01060050032022

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To the Editor.  —Retracting the conjunctiva is a necessary and important aspect of retinal surgery. Several retractors have been designed for specific purposes, including the Arruga retractor,1 Schepen's forked retractor,2 Charles' microretinal retractor,3 and Mizuno's window retractor.4 Our retractor combines several of the features of these retractors into one instrument (Figure). The metal faces are curved, allowing maximum retraction of the conjunctiva from the sclera. Its two head sizes on one retractor increases the retractor's versatility without increasing the number of instruments on the operating tray. The retractor has a dull finish that prevents bothersome reflections. The widened portion of each head can be grasped by the assistant while retracting with the opposite head. A new feature is the circumferential slot alignment, which facilitates passage of horizontal mattress sutures, without prolapse of orbital tissues.

Arruga H: Ocular Surgery , Hogan MJ, Chapars LE (trans). New York, McGraw-Hill International Book Co, 1962, p 612.
Schepens CL: Retinal Detachment and Allied Diseases . Philadelphia, WB Saunders Co, 1983, pp 398-399.
Charles S:  The microretinal retractor . Arch Ophthalmol 1981;99:1252.Article
Mizuno K:  A window retractor for retinal detachment surgery . Am J Ophthalmol 1983;96:255.