-

Intraocular operations
(cataract, glaucoma )

- Extraocular operations
( squint , pterrygiurn )
8 corneal FB
- conjunctival
removal
ulcer
-
cant ariza
's
of corneal

%[Link] little
hence gives
eyeball
.

on

pressure
-
to hold corneal & scleral
lips
during
after cataract
cornea - scleral suturing
surgery

Toothed .
 corneosoleral incision
-

enlarge corneal &

for cataract extracts
incision
-

Enlarge corneal
in keratoplasty
-
Trabeculectomy -

cut scleral & trabecular

tissue .
-

cutting ant capsule of lens in

.

extra capsular surgery

& for cutting 10-0 nylon sutures
-

cutting scleral flap in trabecula to my

-
iridectomy
-

cutting pupillary membrane

 -
to cauterize any superficial bleeding points

during operant on eyeball .

EÉap & easily available .

Disalvo
heat applicant - not uniform .

.
more tissue charring
excite more
may
tissue reaction .
 Handle no .

3. → ophth .

surgeries
blade
No .
11 →
Triangular
No .
15 → curved elliptical tip
-

corn eo -
scleral Seca → cataracts
-

Trabecula to my .

-
Dissect Pterygium head from
Add cornea
seek
-

gaweded -
skin incision as in DCR
-
stepped
-
easier for beginners .

Disadvi
-

conjunctival flap necessary

before incision
giving
-
Time
consuming pen -

holding
fashion
 to tear the ant mow_
.

capsulein zoo needle is

extracapsular used .

cataract opera?
- dial PMMA non foldable
10L for proper positioning
in capsular

bag
-

manipulate
nucleus in
phacoemulsi
fi cab

10L Dialer
 irrigation -

aspiration
two way cannula

Ringer 's lactate

or
-

Hanging
BSS bottle

use_
& aspirant of
-

simultaneous irrigation
in of ECCE
cortical materials
case

insert
viscoelastic material after
-
Remove
of 10L .

Aspiration

2m11 5mi
irrigation .

syringe
 Toothless
forceps

- used to hold 10L during

its placement
-

in post

chamber .
 - To re posit the iris in

the ant chamber in any

intraocular surgery

- to break syneohiae
at Pupillary margin
.

Precaution
-
iris incarceration
at wound .

-
prolapse of iris

-
chance of infects
-

gaping of wound .
 of the lid
> Fixation

✓
by
Haemo stasis
means of
tightening
.

To fix
&
chatazion
achieve

haemo stasis

during
incision
 & 's tissue
- granola
scoop out contents

of chalazion during
incision &

curettage
separate
areal tissue
from

[Link]
during
ra

evisceration .
a) Lens

b) vitreous

ÉNM9eM whole
area
retina
.

i. panophthalmitis d) whole

2. In case of expulsive

haemorrhage
 f- nucleation :

cut optic nerve during sremoval

&
[Link] procedure
a
of globe
.

from
of 0N
portion orbit
.
 extraocular
Engage
muscles during
squint surgery ,

eructation &
retinal detachment

- in
absence of

•venturing uns exponent

?÷ :& knob
 conical
pointed
→

dilate the Puncture

→

÷ :

i.
.
.
.
: tie

during syringing ,

DCT, DCR
probing ,
 to protect globe & support

lid during entropn ,

ectropne ,
ptosis & lid surgeries

s
convert
side

-
spatula
 - not self retaining
-
use :

• Exam inart of conjunctiva & ant .

segment
of eye
In children & non cooperative patient
-

severe blepharitispalm & photophobia

lid edema
Cor neo scleral stich es
removal of
-

•
For

used as tissue retractor

may be
'
 button
"°" " cut corneal
"
in
recipient eyes
yofnoldf
✓
@
from donor
"
"
10£

(
£" keratoplasty
needlessutures )
A sutures
-

iridectomy
.o
cuts
.

✓
, iris for conjunctival
µ
-
scleral ✓ cut 1. prepare
flap
, neo
"
go aft cut / o_O sutures
g.
Ñ
suturing
2.
" in cataract
cataract squint 7 keratoplasty

scleral in 3. cuttrabecular

suturing
2. in
flap
trabeculeclomy
 retaining Enlarge the bony
Muller's self

[Link]
opening during DCR

at
•

bone
bone
•
nasal
Frontalof
process
-

use -

Retract the skin

maxilla
and deeper tissue

during DET and DCR

[Link]/-w-reachthe-acrimalsac
tissue → Few
skin → subcutaneous

fibres of
orbicularis oculi → medial
Ant lacrimal
palpebral ligament →

fascia .
remove
sublaxated
lens &
anteriorly
dislocated
Deliver nucleus
lens in ICCE
in SICS &
& nucleus

in Ecce conventional
ECCE .
 1. used to enter into ant chamber .

after Sotero -
corneal tunnel in
manual sics
2. corneal sect in Phaco .

blade
to make
0

forward angukisot used

-

long straight
-

&
-

§
45° for better corneal
movement sotero manual
-

blade parallel in
2 tunnel
make side Port
To
/ sics
dissect of
in cataract surgery lamellar
-

in
indican cornea
+ he
kerato
.

✓ For Paracentesis lamellar

piasly .

viscoelastic inject
✓ to
substance
Try pan
✓ Inject ←
Blue dye .

✓TO clean
✓

sub -
incision at

lens cortex by
aspirant
irrigates
cannula .

→ To remove small

intracameral FB