An eyelid speculum, a kit containing the eyelid speculum, and a method of using the eyelid speculum in the diagnosis and/or treatment of a patient are provided. The eyelid speculum includes a central ring having an upper surface, a lower surface, an inner side surface, an outer side surface, a first end, and a second end. The first end and the second end are separated by a gap, and the central ring defines an opening. The eyelid speculum also includes first and second eyelid margin holders that extend outwardly from the outer side surface of the central ring at the first end and second end, respectively, where each eyelid margin holder has an upper portion and a lower portion. In addition, the eyelid speculum includes finger tabs that extend upwardly from the upper portions of the first and second eyelid margin holders.

A pressure sensing retractor device and method is provided for measuring orbital compartment pressure of an eye. The device uses nested claw-like retractors where the inner claw retractor is capable of pulling an eyelid of the eye of a patient, and the outer claw retractor is capable of sensing the orbital compartment pressure of the eye. The pressure sensing retractor outputs the force sensor signal as a continuous signal of the orbital compartment pressure of the eye. Embodiments of the invention can be applied towards analysis of orbital compartment syndrome, retrobulbar hemorrhage (RBH), and canthotomy/cantholysis. Unlike applanation tonometry, retractor placement with the retractor provided herein requires no specialized training. Ease of use can help facilitate appropriate clinical decision, especially in environments without immediate access to ophthalmic consultation.

Gonioscope devices are disclosed herein that are configured to enable a medical professional to view structure inside the eye that is ordinarily hidden from normal view. The gonioscope can be an integrally molded single piece that includes both a handle and a gonioscopic optical element. The proximal surface can have a viewing area and a light diffusing area. A recess can provide access to a wound site on the eye while the gonioscope is used for viewing. The handle can be configured to encourage proper alignment of the gonioscope with the eye. The gonioscope can provide an optical fixation point for the subject to focus on to facilitate proper alignment of the eye. The gonioscope can have one or more retention elements configured to engage the tissue of the eye around the contact surface to stabilize the gonioscope. The gonioscope can couple to a lid speculum.

An eye treatment apparatus for opening and holding eyelids of a patient open is described. The apparatus includes a supporting platform having a Y-type shape and including an upper beam configured for extending between a nose bridge and a forehead of the patient and for positioning on the forehead, a left leg and a right leg coupled to the upper beam, and configured for straddling a nose bridge of the patient and for positioning on patient's left and right cheeks, and a cross-arm mounted on the upper beam of the supporting platform. The apparatus also includes an opening assembly mounted on the cross-arm and configured for pulling an upper eyelid up for exposing an eye and retaining the eye of the patient in the open position. The also includes an adjustable annular band for placement around a head of the patient to secure the apparatus thereon.

A protector is engineered to protect corneal tissue during intraoperative procedures. The protector is a temporary passageway into and optionally through the cornea. The sleeve portion of the protector can be more rigid or less rigid depending on a procedure or surgeon preference. The sleeve is described herein in terms of two examples. The first example is a polymer fabric sleeve that expands and is secured into an incision that will then be the passage for all instruments entering the eye. It will also seal the eye from backflow of liquids and tissue out of the passageway. The second example is a relatively rigid tube with an external bladder that is expandable into the incision to secure it from movement and acts as a valved passage into the eye.

Certain embodiments provide a cannula system with a retention mechanism comprising a cannula, a hub coupled to the cannula, wherein a distal end of the cannula is configured to be inserted into a body part up to the hub, and a retention mechanism configured to create resistance for retaining the cannula inside the body part in response to force exerted on the cannula for pulling the cannula out of the body part. The retention mechanism may include retention elements coupled to a bottom surface of the hub, and by rotating the hub in a first direction, the one or more retention elements that are parallel to a surface of the body part are configured to penetrate the body part. In other embodiments, the retention mechanism may include halfpipe elements that pivot on fulcrum points to hold or release the hub and cannula from the body part.

A ring that can maintain a pupil in an extended position dring an ophthalmic procedure. The ring has a plurality of loops that capture iris tissue. The ring is configured to extend the pupil when iris tissue is inserted into each loop. An ophthalmic procedure such as phacoemulsification can then be performed on the patient. The ring has a center opening that provides a wide view of the ocular chamber during the procedure.

A length or strand of resilient material is formed into a continuous ring having multiple tissue-engaging portions for engaging and spreading eyeball tissue segments apart. The strand is formed with elongated straight sides joined by corner portions which are enlarged in directions transverse to the length dimension of each adjacent side. The corner portions constitute the tissue-engaging portions and have top and bottom sections and a connecting section that forms a gap for receiving the tissue. Each side of the ring extends from a bottom section of one corner to a top section of an adjacent corner. When the ring is deployed, the tissue is captured in the gaps at the corners of the ring and also is engaged along each side as that side transitions from a position situated below the tissue to a position situated above the issue.

An eyelid speculum, a kit containing the eyelid speculum, and a method of using the eyelid speculum in the diagnosis and/or treatment of a patient are provided. The eyelid speculum includes a central ring having an upper surface, a lower surface, an inner side surface, an outer side surface, a first end, and a second end. The first end and the second end are separated by a gap, and the central ring defines an opening. The eyelid speculum also includes first and second eyelid margin holders that extend outwardly from the outer side surface of the central ring at the first end and second end, respectively, where each eyelid margin holder has an upper portion and a lower portion. In addition, the eyelid speculum includes finger tabs that extend upwardly from the upper portions of the first and second eyelid margin holders.

Focusing optics for mode mixing may be used to homogenize different modes in an optical fiber used for surgical illumination. A vibration stage may impart mechanical motion to a condenser lens to generate a homogeneous illumination field from a coherent light source.