Bai Michelle, Fu Michele Y, Borchert Grace A, Lee Natalie S, Sidhu Amitouj S, Jiang Ivy, Tweedie Peter J, Gaden Susan C, Agar Ashish, Francis Ian C
Sydney Eye Hospital, Sydney, Australia.
University of New South Wales, Sydney, Australia.
Int Ophthalmol. 2025 May 28;45(1):214. doi: 10.1007/s10792-025-03569-4.
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.
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'.
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.
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.
描述匙形玻璃棒（SGR）的用途，它是一种技术含量低但在眼科诊断和治疗方面具有重大影响的器械，可用于至少十二项临床和手术任务。
进行了一项文献综述，考察了玻璃棒在历史上的使用情况及其在眼科的应用。在MEDLINE数据库中搜索了“上睑双重翻转”“隐形眼镜留存”“匙形玻璃棒”和“眼科中的匙形玻璃棒”等术语。
详细描述了SGR在十二种病症中的具体用途，特别是在使用角膜压陷法紧急处理急性闭角型青光眼方面，以及通过上睑双重翻转检查上穹窿部难以捉摸的异物。还描述了作者的头部稳定技术（HST），因为这有助于新手助手在实时应用SGR期间安全地稳定头部。
事实证明，SGR是一种极其有用的器械，在眼科诊断和治疗环境中至少有十二种不同的应用。HST支持SGR的安全有效使用。
