EW CATARACT
28
Device focus
Xpand continued from page 26
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Xpand in place
Post surgery
Source: Daniel J. Kravitz, MD
extremely stable, allowing instru-
ments to pass in and out of the eye
without engaging the device. It can
be inserted either with forceps (1.8
mm incision) or a special inserter
(2.4 mm incision); both techniques
are easily learned. A manipulator is
used to facilitate placement of the 4
feet that cradle and expand the iris,
helping to reduce damage to the pu-
pil margin. In removing the device,
the same manipulator is used to
disengage the 4 feet prior to remov-
al. This prevents excessive chaffing
of the iris. The Xpand can then be
easily removed with either the ma-
nipulator or the insertion device.
The Xpand directions for use
requires the same cleaning and
sterilization as any other surgical
instrument. A downside we have
seen is that the Xpand is small and
can be lost without careful tech-
nique by the surgical assist and
instrument technicians.
So who needs the Xpand? Any
physician-owned ASC or corporate
ASC looking to maintain a high lev-
el of care and cost efficiency. EW
Editors' note: Dr. Ruckman is medical
director of The Center For Sight, which
includes an office and ASC in Lufkin,
Texas and offices in Livingston and
Onalaska, Texas. He has no financial
interests related to this article.
Contact information
Ruckman: rruckman@thecenterforsight.com
