Higher power lenses
Higher lens power generally means closer working distance, lower magnification, wider field of view, and better small-pupil capability.
Resident gear guide
A practical framework for choosing an indirect lens, a widefield backup, slit lamp lenses, a macula/nerve lens, and a gonio lens without overbuying.
For a standard resident kit, the source guide recommends five lenses: Volk 20D, Volk 28D, Volk 90D, Volk Super 66, and a Volk 4-mirror gonio lens with no flange and no handle.
Higher lens power generally means closer working distance, lower magnification, wider field of view, and better small-pupil capability.
A larger ring can give a brighter, wider image, but it is usually harder to maneuver in tight orbits and through small pupils.
Start with a reliable core set. Add specialty lenses after you know which exam settings frustrate you: small pupils, photography, peripheral sweeps, nerve detail, or pediatric exams.
For routine clinic gonioscopy, a no-flange four-mirror lens is the practical default because it avoids coupling fluid and supports dynamic indentation exams.
| Bundle | Order | Best For | Tradeoff |
|---|---|---|---|
| Traditional five-lens set | 20D, 28D, 90D, Super 66, 4-mirror no-flange gonio | The safest default for most residents: balanced indirect, small pupil, slit lamp, macula/nerve, and angle coverage. | Costs more than the true minimum, but avoids wishing you had the second indirect or macula lens later. |
| Budget minimum | 20D or 28D, 90D, 4-mirror no-flange gonio | Learners who need the fewest tools to cover most clinic and call needs. | You give up either dedicated small-pupil indirect performance or dedicated nerve/macula detail. |
| Widefield-forward set | Panretinal 2.2 or 28D, 90D or Superfield, Super 66, 4-mirror gonio | Residents who prioritize broad peripheral views, scleral depression, or fast scanning. | Widefield lenses can have more glare, less magnification, or a steeper learning curve. |
| Small-pupil scanning set | 28D, 90D, Super VitreoFundus or Digital Wide Field, Super 66, no-flange gonio | Clinics with many undilated or poorly dilating patients. | Some high-widefield slit lamp lenses require very close working distance and get dirty from lashes. |
| Role | Default | Why It Works | Reason to Substitute |
|---|---|---|---|
| Workhorse indirect | Volk 20D | Standard indirect lens with strong detail and a familiar view. | Consider Panretinal 2.2 for more field while preserving detail, or Nikon 20D if you find one and prefer less glare for photography. |
| Small pupil / widefield indirect | Volk 28D | Good small-pupil capability, useful in tight orbits, and helpful for pediatric dilated exams. | Consider 30D for a wider image and photography, accepting the larger ring. |
| Slit lamp scanning | Volk 90D | Popular, maneuverable, small enough for tight lids, and useful through small pupils. | Superfield is a larger 90D-like option; Digital Wide Field and Super VitreoFundus reach farther but require more technique. |
| Macula and nerve detail | Volk Super 66 | Strong all-around high-detail lens with a practical 1:1 slit beam measurement ratio. | Digital 1.0x offers a clear photography-friendly option; 60D gives more magnification but is less commonly used. |
| Gonioscopy | 4-mirror, no flange, no handle | Convenient for quadrant-based angle grading and indentation without routine coupling gel. | 6-mirror gives a broad uninterrupted view, but may be less intuitive when documenting four discrete quadrants. |
| # | Lens Type | Color | Engraving | Notes |
|---|---|---|---|---|
| 1 | Volk 20D or Panretinal 2.2 | Black / preferred color | Last name or initials | Workhorse indirect lens. |
| 2 | Volk 28D | Match set if possible | Last name or initials | Small pupil and widefield indirect lens. |
| 3 | Volk 90D | Match set if possible | Last name or initials | Slit lamp scanning lens. |
| 4 | Volk Super 66 | Match set if possible | Last name or initials | Macula and optic nerve detail lens. |
| 5 | Volk 4-mirror large rim, no flange, no handle | N/A if fixed | Last name or initials | Routine clinic gonio lens. |
| Case | Five-hole or large multi-lens case | Black / preferred color | Name and degree if desired | Verify it fits all selected lenses. |