60% found this document useful (5 votes)
4K views25 pages

Essential Ophthalmic Surgical Instruments

These are the common instruments used in ophtlalmology. Questions on these are asked in the exams for undergraduates.

Uploaded by

Abialbon Paul
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
60% found this document useful (5 votes)
4K views25 pages

Essential Ophthalmic Surgical Instruments

These are the common instruments used in ophtlalmology. Questions on these are asked in the exams for undergraduates.

Uploaded by

Abialbon Paul
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
  • Wire speculum
  • Superior rectus forceps
  • Conjunctival scissors
  • Bard parker knife
  • Cystitome
  • Corneoscleral scissors
  • Fine cannula
  • Iris repositor
  • Lens hook
  • Needle holder
  • Corneoscleral forceps
  • McPherson’s forceps
  • Vanna’s scissors
  • Punctum dilator
  • CAT’S PAW RETRACTOR
  • Lacrimal sac dissector and curette
  • Chisel and hammer
  • Periosteum elevator
  • Bone punch
  • Chalazion clamp
  • Chalazion curette
  • Optic nerve guide
  • Optic nerve cutting scissors
  • Descemarre’s lid retractor
  • Metal cannula

Wire speculum

Used to retract lid and hold


eye open in
[Link] intraocular and
extraocular surgery
[Link] of conjunctival
and corneal foreign
body
[Link] of corneal
vessels
[Link] of patient
with blepharospasm
Superior rectus forceps

• Used to hold the


superior rectus while
placing bridle suture
Conjunctival scissors

• A spring action scissor


with curved end and
large blades
• Used for peritomy
Bard parker knife

• To load no.15 blade


with round tip for
corneoscleral groove
in ECCE and first step
in triplanar incision of
SICS
Cystitome

• Used in anterior
capsulotomy and
capsulorrhexis
Corneoscleral scissors
• Spring action scissor
• Used to enlarge
corneoscleral incision
for ECCE
Fine cannula

• For hydrodissection
and intraocular
irrigation using
balanced salt solution.
Iris repositor
[Link] reposit iris in any
intraocular surgery
[Link] break synechiae at
the pupillary margin
Lens hook
[Link] apply pressure at 6
‘o clock position over
the limbus
[Link] be used as a
muscle hook
Needle holder

1. Spring action
2. Used to pass sutures in
conjunctiva, cornea,
sclera and extraocular
muscles
3. Castoviejo’s-used in
extraocular muscle
surgery
Corneoscleral forceps
• Toothed forceps
• Used to hold cornea
and sclera during
corneoscleral suturing
McPherson’s forceps

[Link] in tying suture


[Link] to hold superior
haptic of IOL during
placement
[Link] to tear off
anterior lens capsule
during ECCE
Vanna’s scissors
1. To cut 10 - 0 nylon
sutures
2. To cut anterior lens
capsule in ECCE
3. To cut the iris tissue
during trabeculectomy
4. For sphincterotomy
5. To perform iridectomy
6. To cut pupillary
membrane and lamellar
corneal tissue
Punctum dilator

• To dilate punctum and


canaliculi during
syringing, probing,
DCR, DCT.
CAT’S PAW RETRACTOR

[Link] like instrument


with terminal tent
inward
[Link] to retract skin in
lacrimal sac and lid
surgery
Lacrimal sac dissector and
curette

• For blunt dissection of


lacrimal sac during
lacrimal sac surgery
• Curetting remnants of
lacrimal sac during
daryocystectomy.
Chisel and hammer
[Link] is used to cut
bone in DCR and
orbitotomy
[Link] to hammer the
chisel
Periosteum elevator

• Used to elevate
periosteum in DCR
Bone punch
Used to enlarge bony
opening in DCR by
punching bone from
margins of opening
Chalazion clamp
• To fix the chalazion
and achieve
hemostasis during
incision and curettage
Chalazion curette

[Link] cup with sharp


margins attached to a
narrow handle
[Link] to scoop out
contents of a
chalazion
Optic nerve guide

• Used to engage the


optic nerve during
enucleation
Optic nerve cutting scissors

• Scissor with curved


ends.
• Used during
enucleation for cutting
optic nerve.
Descemarre’s lid retractor
1. To retract lids for
examination of eyeball in
children, blepharospasm,
swelling of eyelids and
chemosis
2. Removal of corneoscleral
sutures
3. Removal of corneal
foreign body
4. Double eversion of upper
eyelid
Metal cannula

• Fine canula 27G or 30 G


• Used
1. To form anterior chamber
2. For hydro-dissection
3. For aspirating air, lens
matter
(j-shaped cannula)

Wire speculum 
Used to retract lid and hold 
eye open in 
1.Both intraocular and 
extraocular surgery 
2.Removal of conjuncti
Superior rectus forceps 
• Used to hold the 
superior rectus while 
placing bridle suture
Conjunctival scissors 
• A spring action scissor 
with curved end and 
large blades 
• Used for peritomy
Bard parker knife 
 
• To load no.15 blade 
with round tip for 
corneoscleral groove 
in ECCE and first step 
in triplanar in
Cystitome  
• Used in anterior 
capsulotomy and 
capsulorrhexis
Corneoscleral scissors 
• Spring action scissor  
• Used to enlarge 
corneoscleral incision 
for ECCE
Fine cannula 
 
 
• For hydrodissection 
and intraocular 
irrigation using 
balanced salt solution.
Iris repositor 
1.To reposit iris in any 
intraocular surgery  
2.To break synechiae at 
the pupillary margin
Lens hook 
1.To apply pressure at 6 
‘o clock position over 
the limbus 
2.Can be used as a 
muscle hook
Needle holder 
1. Spring action 
2. Used to pass sutures in 
conjunctiva, cornea, 
sclera and extraocular 
muscles 
3. Castov

You might also like