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THE BEST WAY TO
LOWER
INTRAOCULAR
PRESSURE BEFORE
SURGERY
MATERIAL VERIFICATION OF  COMPONENTS:
The black reusable Bellows (#150), the reusable Headband
(#210, #200), the Tubing (#300), Gauge bulb air pump (#500,
550) are made of latex.


The Disposable Bellows & Headbands (part series #700’s),
contain:  The Bellows (the blue inflatable cushion) is 100%
Polyvinyl Chloride (PVC), which contains no trace of latex. The
Silicone Tubing (#625) is FDA CFR21 177.2600 compliant.  The
white Tyvek® Headband (from DuPont) is polyethylene.
Caution: This Product Contains
Natural Rubber Latex  Which May
Cause Allergic Reactions
Added Safety in Phaco Emulsification
The instrument can be used before and/or after retrobulbar, peribulbar or subtenons anesthesia.  Application after injection
anesthesia, or pledgets soaked in topical anesthetic solution and positions in cul-de-sacs, can enhance the effect of the anesthesia.
 Application after injecting anesthesia solutions can help prevent retrobulbar or peribulbar hemorrhages.  Softening the eye, by
presurgery ocular compression prior to phaco emulsification in small incision, no-suture surgery, can be a safety feature in
occasional cases where conversion to extracapsular or intracapsular surgery is necessary.

Preoperative ocular compression may be a safety measure in preventing choroidal expulsive hemorrhage.  Sudden stress occurs
on fragile sclerotic vessels when the intraocular pressure is suddenly reduced to atmospheric pressure at the time of incision.  
Lowering the intraocular pressure by preoperative ocular compression should reduce the pressure differential and the amount of
stress on the vessels at time of incision.
EU Authorized Representative:
D.R.M. Green
Eurolink (Europe) Ltd.
Avalon House
Marcham Road
Abingdon
Oxon OX14 1UD
United Kingdom

Tel:(44) 179 378 4545
Fax: (44) 179 378 4551
Declaration of Conformity
(pdf)
Above logo is a link to
Eurolink (Europe) Ltd.
The device is classified as a Class I
unsterilised medical device and a notified
body is not involved in its certification.  
Therefore there is no certificate from a
notified body.  
Customer Service Hours
8 - 5  EDST Monday - Thursday
8 - 4:30 EDST Friday
(New York time)
Guide for Nurses
For using the “Honan Balloon”
(printer friendly)
GUIDE LINES FOR USING
Pressure on the eye traditionally has been a method of slowing some tachycardias.  Some persons may be more sensitive to the
ocular-vagal reflex.  Therefore, all patients should be monitored for signs of bradycardia while pressure is being applied to the eye.

The optimum pressure to be used should be well below pressure in the central retinal artery.  It should be elevated only high
enough to create a soft surgical eye.  Using the 20 to 30 mm Hg of monitored pressure for 30 to 60 minutes before surgery,
clinically results in very soft, safe, surgical eyes.  With the Schiotz Tonometer with 5.5 gram weight, the scale reading may be
above 10.  An eye may be so soft that the cornea may be observed to dimple when the lid speculum is inserted. Releasing the
pressure every 30 seconds and then reapplying it has NOT been found necessary or desirable.

With a soft eye, the iris may be concave or drop posteriorly after lens removal.  Excess vitreous pressure is typically absent.  
Intraocular lens implantation is much easier and safer.  From the surgeon’s viewpoint, there is much less stress and strain.
Guide for Nurses
(English, French, German, Spanish)
pdf