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March 1987

Use of the Jaffe Speculum in Eyelid Surgery

Arch Ophthalmol. 1987;105(3):313. doi:10.1001/archopht.1987.01060030027006

To the Editor.  —The Jaffe eyelid speculum can be used as a self-retaining retractor to provide excellent exposure during many eyelid operations. The speculum replaces the conventional Desmarres vein retractor held by the surgical assistant. The eyelid speculum was designed by Dr Jaffe1 for independent retraction of each eyelid during cataract surgery. For eyelid operations, the curved end of the wire speculum fits into the surgical wound. A rubber band attached to the end of the speculum can be clamped to the surgical drape to provide retraction. The malleable nature of the stainless-steel wire used to make the speculum allows easy molding to accommodate sunken eyes with prominent brows or proptotic eyes. Other less flexible independent eyelid retractors such as the Tennant eyelid retractor are less useful in this regard.The most common application of the Jaffe eyelid speculum during eyelid surgery is during the anterior approach to the

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