The spatulated glass rod: low-tech instrument for high-impact ophthalmic diagnosis and treatment.

IF 1.4 4区医学 Q3 OPHTHALMOLOGY

International Ophthalmology Pub Date : 2025-05-28 DOI:10.1007/s10792-025-03569-4

Michelle Bai, Michele Y Fu, Grace A Borchert, Natalie S Lee, Amitouj S Sidhu, Ivy Jiang, Peter J Tweedie, Susan C Gaden, Ashish Agar, Ian C Francis

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引用次数: 0

Abstract

Purpose: To describe the utility of the Spatulated Glass Rod (SGR), which is a low-tech but diagnostically and therapeutically high-impact instrument used in Ophthalmology for at least twelve clinical and surgical tasks.

Methods: A literature review was conducted, examining the use of the glass rod both historically and in its applications in Ophthalmology. The MEDLINE database was searched for the terms 'double eversion of upper eyelid', 'retained contact lens", 'spatulated glass rod' and 'spatulated glass rod in ophthalmology'.

Results: Detailed descriptions are provided of the specific use of the SGR in twelve disorders, but particularly in the emergent management of acute angle closure using corneal indentation, and inspection of the upper fornix for elusive foreign bodies by double eversion of the upper lid. The authors' Head Stabilisation Technique (HST) is also described as this facilitates safe head stabilisation by a novice assistant during the real-time application of the SGR.

Conclusion: The SGR has proven to be an extremely useful instrument, with at least twelve different applications in both diagnostic and therapeutic contexts in Ophthalmology. Safe and effective use of the SGR is supported by the HST.

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匙形玻璃棒：低技术含量的高影响眼科诊断和治疗仪器。

目的：描述Spatulated Glass Rod （SGR）的用途，这是一种低技术含量但诊断和治疗效果高的仪器，用于眼科至少12种临床和手术任务。方法：回顾文献，回顾玻璃棒的使用历史及其在眼科中的应用。在MEDLINE数据库中搜索“双睑外翻”、“隐形眼镜保留”、“匙形玻璃棒”和“眼科学中匙形玻璃棒”。结果：详细描述了SGR在十二种疾病中的具体应用，特别是在急性角闭合的紧急处理中使用角膜压痕，以及通过双外翻上睑检查上穹窿以寻找难以找到的异物。作者的头部稳定技术（HST）也被描述为在实时应用SGR期间，新手助手可以安全稳定头部。结论：SGR已被证明是一种非常有用的仪器，在眼科诊断和治疗中至少有12种不同的应用。安全有效地使用SGR需要HST的支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Ophthalmology OPHTHALMOLOGY-

CiteScore

3.20

自引率

0.00%

发文量

451

期刊介绍： International Ophthalmology provides the clinician with articles on all the relevant subspecialties of ophthalmology, with a broad international scope. The emphasis is on presentation of the latest clinical research in the field. In addition, the journal includes regular sections devoted to new developments in technologies, products, and techniques.