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Cautery in Ophthalmology: An Overview of Uses and
Systems
ForceEZ
Electrosurgical
Generator
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ForceFX
WendyW.Lee,M.D.,M.S. Electrosurgical
AboutAuthor
Generator
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Why Cautery:
Theuseofcauterydatesbacktoprehistorictimeswhenhotstoneswereused Surgistat
Electrosurgical
tostopbleeding.Still,inmoderndays,cauteryisparamount,andanabsolutely Generator
essentialitemtohaveinthemajorityofophthalmicprocedures.
Hemostasisremainsthemostimportantroleofcautery.Withouthemostasis,weruntheriskofbleedsleadingtothe
worstcasescenarioofaretrobulbarhematomaandblindness.Hemostasisallowsforasaferandmorefavorable
outcome.Butbesideshemostasis,cauterycanbeusedforotherpurposes.Weuseitcommonlyinophthalmologyto
inducepunctalstenosisforpatientswithdryeyes.Weuseittocloseconjunctivalincisions.Weuseitasasurgical
marker.
Related Categories
Forthesereasons,Iusebipolarcauterymoreoften,butmanyusemonopolarcauterybecausethismethodtendsto
decreasesurgicaltimewiththecapabilitytocutandcoagulatewiththesameinstrument.
Quick Quiz
Belowisadiscussionandcomparisonofavarietyofcauteryunits.
Thepatientdepictedinthephotowas
scheduledforasurgicalprocedure
whichwasabortedatthebeginningof
Wet-FieldHemostatic Coagulator thecase.Thephotowastaken2weeks
afterthescheduledsurgery.Whatwas
themostlikelyintraoperativeevent?
BeaverVisitec
a.postinjectionretrobulbar
Thisunitisdesignedtoprovideprecisehemostasiswithreduced hematoma
peripheraltissuetrauma.Controlledradiofrequencydiathermydelivers b.infectionfromnonsterile
targetedcoagulation.Theboxweighsonly4lbs.andrequires100240 instruments
WetFieldHemostaticCoagulator c.cauteryfire
VAC,65VA,50/60Hz.Thereareavarietyoftips,includingeraser
d.allergicreactiontosurgical
instruments,forcepsandcables. BeaverVisitec
drapes
BeaverVisitec
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11/21/2016 CauteryinOphthalmology:AnOverviewofUsesandSystems|ophthalmologyweb.com
Thisbipolarinstrumentisdesignedtocreateaninkfree WetFieldOsherThermoDotMarkerBeaverVisitec Featured Products
finedotontheeyethatcanbeusedasaprecisereference
pointforavarietyofocularprocedures,includingtoricintraocularlensimplantation.Asopposedtoatraditional Smartphone
BasedRetinal
surgicalmarkingpen,thismarkwillnotsmearandwilllastthedurationofthesurgery. ScreeningSystem
DEYE,TheModern
Covidien
ZEISSAngioPlex
TheForceTriadenergyplatformprovidescuttingandcoagulation,bipolar OCTAngiography
functionalityandvesselsealinginonegenerator.ItincludesValleylab Designedtomake
modeforelectrosurgery.ThecompanyofferstheValleylabExchange capturingclear,3D...
ForceTriadEnergyPlatform
viewproduct
SoftwareUpdateSystemtoupdateyourcurrentsystem.
Covidien
viewallfeaturedproducts
maintainspowerdeliveryandminimizesdrag. YourEmailAddress
Learnmoreaboutwritingforus
SurgiStatIIValleyLab
Kirwan
With20wattsofpower,thisgeneratoriswellsuitedforophthalmologyuse.
Itoffersadjustablesettingsandprovidesanaudibletoneduringoutput
poweractivation.Withtouchpadcontrolsandfootswitchactivation,its
simpletouseaswell.
TIPS
Asasidenote,belowaresomeofmyfavoritebipolarcauterytipsthatcan
beusedwithanyoftheaboveunits.Theproductspicturedbeloware
manufacturedbyKirwanSurgical.Ihaveusedmany,andmyfavoritesso
fararethecoated,nonstickforcepstips. 20WattBipolarCoagulatorKirwan
Bayonet:Iusethesetipsfordacryocystorhinostomies,opticnervesheath
fenestrations,orbitaltumorexcision,andanyotherprocedurewheredeep
cauterymaybeneeded.
Semkin:Thesearemyfavoriteforcepstipsfordirectbrowplasties.
http://www.ophthalmologyweb.com/FeaturedArticles/154802CauteryinOphthalmologyAnOverviewofUsesandSystemsWendyWLeeMD/ 2/4
11/21/2016 CauteryinOphthalmology:AnOverviewofUsesandSystems|ophthalmologyweb.com
Jewelers:Thesearemymost
commonlyusedforcepstips.Iuse
theseforchalazia,lidlesions,
blepharoplasties,ptosisrepairs,
enucleations,Mohs
reconstructions,etc.Theycomeinavarietyofsizesandstyles.
Colorado Needle
Stryker
Thisneedleisamonopolarelectrodewithasharptungstentipforsofttissuedissection.Itoperatesathigh
temperatureswithinsulationdesignedtopreventunwantedtissuedamage.
OnelastsidenotethatIwillmentionisthehottemperaturedisposablecauterydevice.Theseareusefulforclinic
proceduresorintheemergencyroomwheresingleuseishelpfulandtransportationoflargeunitswithcordsand
footpedalsisnotfeasible.
Accu-Temp Cauteries
BeaverVisitec
AccuTempCauteriesaresingleusecauterieswithaoneyearshelflife.
Theyareavailableinavarietyoftipstyles.
Insummary,bipolarelectrocauteryisaveryprecisewaytodeliverheatto
tissuestostopbleedingduringproceduresoraftertraumawhilecausing
minimaltissuedamage.Theunitsdiscussedabovealloffertheirown
AccuTempCauteriesBeaver
advantagesandcanbeusedinavarietyofcapacities.
Visitec
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