Westcott E-30440 00 Titanium Super Soft Grip Scissor, 10 cm- Grey/Yellow

Product Information

At OfficeStationery, we know a good quality pair of scissors is vital in any office or working environment. The best multi purpose scissors are titanium bonded scissors. These are strong but lightweight which makes them easier scissors to cut with. We have a huge range of these, as well as those with stainless steel blades. These are all manufactured by big brands including Scotch, Wescott, Leitz, Durable and more, which guarantees you the best quality every time. Ellis MF, Daniell M. An evaluation of the safety and efficacy of botulinum toxin type A (BOTOX) when used to produce a protective ptosis. Clin Exp Ophthalmol. 2001;29(6):394–399.

Lagophthalmos due to facial nerve palsies (neurogenic exposure keratopathy), cicatricial damage to the eyelids, anorexia nervosa, leprosy, Ramsay Hunt Syndrome Type 2, orbital tumors, and thyroid eye disease [1] [7] [8] [9] The temporary suture tarsorrhaphy can be placed anywhere along the lid margins. If inspection of the cornea at intervals is desired, a drawstring tarsorrhaphy technique can be utilized. silk sutures are passed through the upper eyelid at the level of the meibomian gland orifices and the eyelid is everted over a speculum.Topical anesthetic is instilled, and the central area of the upper and lower eye lid is injected with local anesthetic (lidocaine 1-2% with epinephrine). Naik MN, Honavar SG, Bhaduri A, Linberg JV. Congenital horizontal tarsal kink: a single-center experience with 6 cases. Ophthalmology. 2007 Aug;114(8):1564-1568. DOI: 10.1016/j.ophtha.2006.12.001. PMID: 17367861. A #11 or #15 Bard-Parker blade is used to make an incision along the grey line of the lateral lower lid of the desired length to a depth of 2 mm. The second arm of the double armed suture is then passed in an identical fashion along the other side of the bolster and through the eyelid as above

Tanenbaum M, Gossman MD, Bergin DJ, Friedman HI, Lett D, Haines P, McCord CD Jr. The tarsal pillar technique for narrowing and maintenance of the interpalpebral fissure. Ophthalmic Surg. 1992 Jun;23(6):418-25. PMID: 1513540. Especially includes narrow blades which increase precision. Moreover, the instrument has curved blades that contort to the surface of the eye for increased accuracy. The anterior lamella of the lower lid is then sutured to the anterior lamella of the upper lid using absorbable or permanent 5-0 to 6-0 suture in an interrupted fashion. [1] [13] Prior to the procedure, a full ophthalmic examination should be performed and documented. A thorough slit lamp biomicroscopic examination should document corneal pathology and the size and location of any defects or corneal ulcers. Careful examination of the palpebral conjunctiva using double eversion to look for foreign bodies or keratinization should also be performed. External examination of eyelid abnormalities, the degree of lagophthalmos, and assessment of corneal sensitivity are critical in determining what type of tarsorrhaphy is appropriate (permanent vs. temporary) and deciding on the extent of tarsorrhaphy (lateral vs. medial vs. central vs. total) to be performed. The length of tarsorrhaphy to be performed is determined by gently pinching the upper and lower eyelids together with forceps or manually to achieve desired closure.

Neurotrophic corneal ulceration (CN V deficit, herpes simplex virus (HSV) or varicella zoster virus (VZV) keratitis) [1] The needle is then turned around and passed 3-4 mm below the lower lid skin, through the lid margin and retrieved from the meibomian gland orifices. Ehrenhaus M, D'Arienzo P. Improved Technique for Temporary Tarsorrhaphy With a New Cyanoacrylate Gel. Arch Ophthalmol. 2003;121(9):1336–1337. doi:10.1001/archopht.121.9.1336. Allen, R. “Temporary bolster tarsorrhaphy.” Oculoplastics Surgery Techniques. University of Iowa Health Care. Ophthalmology and Visual Sciences Video Library.

Stevens or Westcott scissors are used to dissect between the anterior and posterior lamella to a depth of 3-4 mm making sure to stay parallel to the tarsal plate. In summary: The suture is passed through the bolster, followed by the upper eyelid, then the lower eyelid, then the second bolster. Once the second bolster is engaged, the suture is turned around and placed through the second bolster, then the lower eyelid, then the upper eyelid, and the bolster. The suture is then tied to complete the tarsorrhaphy. [12]

Proptotic exposure secondary to thyroid eye disease or other inflammatory orbital disease, and orbital tumors [1]

Hogeweg M, Keunen JE. Prevention of blindness in leprosy and the role of the Vision 2020 Programme. Eye. 2005: 19, 1099–1105. Lee V, Currie Z, Collin JRO. Ophthalmic Management of Facial Nerve Palsy. Eye. 2004; 18: 1225-1234. Tzelikis PF, Diniz CM, Tanure MA, Trindade FC. Tarsorrafia: aplicações em um Serviço de Córnea [Tarsorrhaphy: applications in a Cornea Service]. Arq Bras Oftalmol. 2005 Jan-Feb;68(1):103-7. Portuguese. doi: 10.1590/s0004-27492005000100019. Epub 2005 Mar 30. PMID: 15824813.

Scissor - Iris, Straight, Blunt Blades, Length 10cm

Our Westcott Tenotomy Scissor comes with rounded tips that are ideal for blunt dissection of tissues.