Robert Osher, MD, is a professor of ophthalmology at the University of Cincinnati College of Medicine and the medical director emeritus of the Cincinnati Eye Institute. He has more than 40 years of experience operating on patients with cataracts and has developed surgical instruments to help provide ease and efficiency with cataract surgery. Dr. Osher noted that, “Over the course of my career, I’ve enjoyed such a fantastic evolution of technology in the field of ophthalmology. Techniques have changed so dramatically. As a result, there have been many opportunities to improve routine cases as well as manage challenging cases so much better.”
Dr. Osher has developed more than 100 surgical instruments for use in cataract surgery. He recently designed his signature line of innovative surgical instruments that were crafted by Storz. The latest set of instruments allow the cataract surgeon to choose between either a traditional design or an innovative “no-fly” design. The no-fly designs allow fine finger control rather than wrist movements to be used during the procedure.
Dr. Osher explained the no-fly zone: “The reason for the no-fly instrument set was because we started to compromise the space under the microscope by adding new technology to the bottom of the microscope. As we continue to add to the bottom of the microscope, that space becomes further compromised, and I call that the no-fly zone. It’s very easy with traditional instruments that have longer shafts to contaminate the instruments by banging them against the microscope. So, I shortened the instruments and discovered that really changes the way I do surgery. Instead of gross wrist motions, it becomes very delicate in the fingertips. It’s a different way of operating, yet it is very easy to acquire this skill.”
Osher No Fly Y-Hook (ET6315)
Use: A time-tested design for manipulating intraocular lenses (IOLs), the “Y” hook is a great choice for using the optic-haptic junction for rotating the IOL or maneuvering haptics for any reason.
Design: The dull finger reduces the risk of scratching or damaging the optic and is capsule friendly.
Overall length: 105 mm, 4.1 inches
Osher Capsulorhexis Marker (E6316)
Use: Assist the surgeon in creating a precise capsulorhexis.
Design: The 6.05 mm (diameter) ring leaves a circular mark on the cornea to assist the surgeon in creating a precise capsulorhexis 4.8 mm in size, irrespective of corneal diameter or pupil size.
Osher Mature Nucleus Chopper (E6319)
Use: Ideal for cracking, manipulating, or chopping a hard cataract during phacoemulsification.
Design: Length and cutting edge are designed specifically for the mature cataract. The obtuse angle of the terminal bend facilitates entry through a stab incision and allows access to the peripheral lens. The gentle bend to the shaft improves the mechanical advantage of the chop. The olive tip is designed to protect the posterior capsule during chopping and manipulation.
Overall length: 116.3 mm, 4.58 inches
Use: To cut capsule, membranes, adhesions, and iris tissue at multiple meridians.
Design: One interchangeable handle fits all scissors and one handle fits forceps. Three options available: straight (ET6325), 45-degree (ET6326), and 90-degree (ET6327). Tips for use with reusable titanium handle: (ET6323).
Use: To grasp membranes, adhesions, and iris tissue at multiple meridians.
Design: Surgeon can select from the following options, all on an interchangeable handle: straight (ET6328), 45-degree (ET6329), and 90-degree (ET6330). Tips for use with reusable titanium handle: (ET6324).
Osher Magnifier HD for Surgical Scrub Tech (E7003)
Use: Provides easy positioning of the magnifier in the operating room and more flexibility in viewing delicate instrument tips; facilitates adjustments of phaco sleeves and irrigation and aspiration handpieces or loading intraocular lenses (IOLs) into injectors.
Design: Innovative, enhanced design offers a double hinged magnifier.
“With the latest line of instruments, they all have a reason to be different. They weren’t just designed to be different. They were designed to be better.”- Dr. Robert Osher
Robert Osher, MD, has been an ophthalmologist for more than 40 years. The American Society of Cataract and Refractive Surgery has awarded Dr. Osher its two highest honors: the Binkhorst Medal and the Innovator’s Award. He also received the Lifetime Achievement Award and the Kelman Award from the American Academy of Ophthalmology.
Financial disclosure: consultant to Bausch & Lomb. Dr. Osher receives no royalties for instrument design.