INSTRUMENTS
1. Identify the instrument and use of it ?
2. Identify and give uses and Name the
instrument used to take bridal suture ?
3. Identify the instrument and give uses
4. Identify and used in which step of cataract
surgery ?
[Link] Full name of the instrument , uses and
names of 2 other instruments used for same
purpose .
6. Name the instrument and uses , Name of
instrument used to dial IOL ?
7. Name the instrument and uses
[Link] the instrument , uses , Define
internal and external Hordeleum
9. Identify the instrument , describe it and
give uses .
10 . Identify the instrument , describe it and
uses
11. Identify , describe and uses
12. Name the instrument and name the
surgery its used in ?
13. Identify the instrument and give its uses
[Link] the full name of the instrument and
uses of same
[Link] the instrument and give uses
Instruments
Optics
Dr Asim
Arruga needle holder:
► Uses:
► To hold heavy gauge needles
(thicker than 6-0)
► Lid surgery
► Passing bridle suture under
superior rectus muscle
Bard Parker Handle With Blade:
Uses:
11 no blade
1. For removal of very small lesions
2. For making accurate stab incisions in chalazion surgery
Barraquer’s Needle Holder:
► Uses:
1. To hold fine gauge needles (5-0 or finer); used mainly for passing
sutures in the conjunctiva, cornea, sclera .
2. To suture extraocular muscles in squint surgery
Universal Barraquer wire speculum Speculum with guard
► Uses:
► To retract the the lids apart for visualisation and surgical access.
► Any intraocular operation such as cataract surgery and glaucoma surgery
► Any extraocular surgery e.g., squint surgery, pterygium surgery
► Enucleation and evisceration operation
► Removal of conjunctival and corneal foreign bodies
be used in loth
can
-
eyes
- keeps the eyes open
USES OF EYE SPECULUMS
• INTRAOCCULAR OPERATIONS
• EXTRAOCCULAR OPERATIONS
• OPD /ICU PROCEDURES- ROP SCREENING ,PATIENT WITH
BLEPHAROSPASM Loading…
• REMOVAL OF CONJUNCTIVAL AND CORNEAL FOREIGN
BODIES
• CAUTERISATION OF CORNEAL ULCER
• ENUCLEATION AND EVISCERATION
Castroviejo’s Caliper:
► Uses:
► Pterygium surgery
► Squint surgery
► Ptosis surgery
► Retinal detachment and pars plana vitrectomy surgery
► To measure and mark corneal diameter in penetrating keratoplasty to
trephine the host corneal button
Castroviejo’s Needle Holder :
Uses:
For suturing corneoscleral wounds
Cresent knife
Uses:
To make the sclerocorneal tunnel incision in
phacoemulsification, small incision cataract
surgery (SICS), and sutureless trabeculectomy
Keratome
(entry Blade)
USE:: To make valvular corneal incisions through the scleral tunnel for entry
into the anterior chamber in cataract surgery (SICS and phacoemulsification
techniques)
Sizes 2.8 and 3.2 most commonly used
⑫
3
2 8 mem
.
summ
3 .
5 mum
5 .
.
mm
5
OR ~ LANCE BLADE
-
-
Cystitome
Uses-
For doing anterior capsulotomy or capsulorhexis during
cataract surgery
Dastoor’s Superior Rectus Holding Forceps:
Uses:
• To hold the superior rectus muscle while passing a bridle
suture under it
• To stabilize the eyeball during any operation such as cataract
surgery, glaucoma surgery, corneal surgery, etc
Mosquito Forceps:
► Uses:
► To catch the bleeding vessels during operations of the lids and lacrimal
sac.
► To hold the skin and muscle stay sutures
► To hold small ‘pea-nut’ gauze pellets for blunt dissection in lacrimal sac
surgery and other extraocular surgery
► To hold gauze pieces while packing the socket after enucleation or
exenteration operation
CIRIS FORCEPS)
I
&
Lims forceps
• Uses:
• To hold the cornea or scleral edge (of
incision) for suturing during
• cataract, glaucoma surgery
• repair of corneal and/or scleral tears
• keratoplasty surgery
Mc pherson’s Forceps:
Uses:
• To hold the superior haptic of IOL during its
implantation
• Can be used for tying 8-0 and 10-0 sutures
Tying Forceps:
Uses:
For tying knots while suturing corneal tear,
scleral tear, scleral tunnel in small incision
cataract surgery etc.
Iris repositor
Uses:
• To gently reposit the iris in the anterior chamber in case
it prolapses out during any intraocular surgery
• To break synechiae at the pupillary margin
Wire vectis
Uses:
• Lens delivery ICCE , ECCE
• To remove dislocated or subluxated lens
Sinskey hook(Dialor)
Uses:
It is used to dial the PMMA non-foldable IOL for
proper positioning in the capsular bag or ciliary sulcus
It can also be used to manipulate the nucleus in
phacoemulsification surgery
Note : Foldable lens comes with an injector
lens expressor
► Uses:
1. Delivery of lens in intracapsular cataract extraction
2. To express the nucleus in extracapsular cataract
extraction
3. It can also be used as muscle hook if the latter is not
available
4. Also used along with wire vectis to extract out the
dislocated lens
conjunctival scissors
Uses:
For cutting and undermining conjunctiva in
various operations such as small incision cataract
surgery, phacoemulsification surgery,
evisceration
For cutting sutures
It has a round tip so that it does not tear the
Vanna’s Scissors
Uses:
• For cutting anterior capsule of the lens in extracapsular surgery
• For cutting fine sutures such as 10-0 sutures
• For doing pupillary sphincterotomy
• For performing iridectomy
• For cutting pupillary membrane
• For manual anterior vitrectomy
Simcoe’s Irrigation-Aspiration Cannula:
Uses:
• For manual aspiration of the lens cortex in cataract surgery
• For aspiration of hyphaema or exudates from the anterior
chamber
• To remove viscoelastic material at the end of the surgery
Muscle hook
Uses:
1) It is used to engage the extraocular muscles during
surgery for squint, enucleation and retinal detachment
2) In the absence of lens expressor, it may be used in
its place
Bowman Lacrimal Probe:
► Uses:
► While checking for patency of the lacrimal drainage system to determine the presence of
a hard stop or soft stop
Nettleship punctum Dilator:
Uses:
To dilate the punctum and canaliculus during syringing,
probing, dacryocystography, DCT and DCR procedures
Chalazion Clamps:
Use:
To fix the chalazion and achieve haemostasis
during incision and curettage
Open side towards the conjunctiva and
closed towards the lid
Chalazion Scoop:
Use
To scoop out contents of the chalazion
during incision and curettage
Lenses
Spherical Cylindrical
concave concave
convex convex
Spherical lenses
vs
Cylinder lens
Concave vs Convex
concave convex
DIFFERENCE ??????
Uses:
Hypermetropia Uses:
Presbyopia Myopia
Aphakia Hruby lens
20D,78D,90D lenses
INSTRUMENTS 1
(CATARACT SURGERY )
BY DR MANASI MORE
JUNIOR RESIDENT
MS OPHTHALMOLOGY
1. UNIVERSAL METALLIC EYE
SPECULUM
[Link] SPECULUM WITH GUARD OR
WITH SOLID BLADES
Loading…
[Link] SPECULUM
USES OF EYE SPECULUMS
• INTRAOCCULAR OPERATIONS
• EXTRAOCCULAR OPERATIONS
• OPD /ICU PROCEDURES- ROP SCREENING ,PATIENT WITH
BLEPHAROSPASM Loading…
• REMOVAL OF CONJUNCTIVAL AND CORNEAL FOREIGN
BODIES
• CAUTERISATION OF CORNEAL ULCER
• ENUCLEATION AND EVISCERATION
[Link] EXPRESSOR (HOOK )
[Link] RETRACTOR
[Link] ACTION(BARRAQUER’S
TYPE) NEEDLE HOLDER
[Link]’S NEEDLE HOLDER
[Link]’S CALLIPER
[Link] GRAEFE’S KNIFE
[Link]
18.15 DEGREE SIDE PORT ENTRY BLADE
[Link] OR V LANCE BLADE
[Link] OR CAPSULOTOME
[Link] BLADE FRAGMENT WITH
BLADE HOLDER
[Link] KNIFE
[Link] STRAIGHT SCISSORS
[Link] CURVED SCISSORS (RINGED)
[Link] SCISSORS OR SECTION
ENLARGING SCISSORS
[Link] SCISSORS (WESTCOTT’S)
[Link] SCISSORS
Loading…
[Link] SPATULA
[Link] VECTIS
[Link] WIRE VECTIS
[Link] –WAY IRRIGATION AND
ASPIRATION CANNULA (SIMCOES
CANNULA )
[Link] REPOSITOR
[Link] HOLDING FORCEPS
[Link]-MCPHERSON FORCEPS
[Link] HOOK OR IOL DIALER
[Link] CANNULA
[Link]
[Link] CAPSULE POLISHER OR
POSTERIOR CAPSULE POLISHING
CURETTE
INSTRUMENTS 2
1. CHALAZION CLAMP
[Link] SCOOP
3. LID CLAMP OR ENTROPION CLAMP
[Link] SPATULA
[Link] CLAMP
[Link] WECKER’S SCISSORS
7. SCLERAL PUNCH
[Link] PUNCH
[Link] PROBES (BOWMAN’S)
[Link] DILATOR (NETTLESHIP’S)
[Link] RETAINING LACRIMAL
WOUND(MULLER’S) RETRACTOR
[Link]’S PAW LACRIMAL WOUND
RETRACTOR
[Link] PUNCH
[Link]
[Link]
[Link] SAC DISSECTOR AND
CURETTE
[Link] GOUGE
[Link] NERVE GUIDE (ENUCLEATION
SPOON)
[Link] SPATULA
[Link] CURETTE
[Link] SCISSORS
1. Bowman’s probe
2. Superior rectus loading probe
3. Vannas scissors
4. MVR/ V lance blade
5. Spring action needle holder
6. Conjunctival scissors
7. IOL dialer
8. Chalazion Clamp
9. Universal Eye Speculum
10. Keratome
11. Crescent blade
12. Castroviejo calliper
13. Irrigation and aspiration cannula
14. Wire Vectus
15. Hydrodissection cannula
1. Wire speculum
2. Globe fixation forceps
3. Epilation forceps
4. Artery forceps
5. Lens expressor
6. Strabismus spoon
7. Cats paw retractor
8. Plain scissors
9. Corneal scissors
10. Iris repositer.
11. Optic nerve guide/enucleation scoop
12. Evisceration curette