Optimal Illumination: The BFF Light

Abstract

Background: Optimal illumination for procedures performed without the operating microscope remains challenging for the surgeon within some subspecialties. We present a novel device that provides unmatched illumination for such procedures and highlight its use during scleral buckle placement. Methods: A mode of illumination prioritizing precision, flexibility, portability, and compatibility in various procedural settings was developed. Using such a prototype, a proof-of-concept assessment quantified the number of manual light adjustments vs ceiling-mounted spotlight adjustments required during scleral buckle placement. Results: The Brodie-Fekrat Flex (BFF) Light, an ultrabright LED light connected to a flexible gooseneck, can mount on surgical microscopes, wrist-rests, ceiling-mounted spotlight handles, and even exam chairs. During scleral buckle placement, the BFF Light did not require intraoperative re-adjustment once positioned, whereas ceiling-mounted spotlights were repositioned 5 times on average. Conclusions: The BFF light provides reliable, bright illumination during procedures that do not require the operating microscope. This versatile device may also have applications in the clinic setting, even beyond ophthalmology.