screw present
Universal Eye Speculum
used to separate both eyelids for good exposure
of the eyeball mainly in Extraocular operations
used in both intraocular & extraocular operations
Wire speculum - no screw
used to separate both eyelids for good exposure of the eyeball
Muller's Skin Retractor
(Used in DCR, DCT)
Artery forceps &
Straight Mosquito
forceps ligature of large & small artery respectively
suturing
Superior Rectus Holding Forceps
(Toothed, S-shaped bend at
tip-7mm dist ie. Limbus to Sup
rectus muscle distance also)
Totally double bended
Used in Sup. rectus briddle suture
Suture Tier forceps
• Tying knots while suturing
McPherson's Forceps
(non-toothed & no
double bend)
Removal of Ant. Capsular Flap
Introduction of Rigid IOL
Suturing
CAPSULORHEXIS FORCEPS (UTRATA FORCEPS)
To perform continuous curvilinear capsulorhexis (CCC) in case of manual SICS or
in phacoemulsification.
The initiation of rhexis is started with a 26 G needle, and then completed with
the rhexis forceps, or it may be with the rhexis forceps alone
St. Martin's
· Globe fixer
forceps (toothed)
Epylation
forceps To remove the offending, misdirected eyelashes in trichiasis.
To remove the involved eyelash in stye.
No anethesia is required for epilation
Epylation forceps
& St Martin's
forceps
CASTROVIEJO
CORNEOSCLERAL
SCISSORS(sharp)
Conjunctiva cut in cataract sx
corneal cut in keratoplasty
scleral cut in trabeculotomy
Subtopic
Vannas Scissor
peripheral iridectomy
sponge vitrectomy
Arruga's needle holding forceps
Barraquer's
needle holder
(blunt)
15 number blade (scleral incision in cataract sx(15 no. blade) or
any other incision in opthal-scleral in Trabeculotomy, Skin Incision
in DCR, Ptosis or other eyelid surgeries, Chalazion incision-vertical
incision) with Bard Parker Handle
Crescent
Knife blunt tip
2 cutting edge present
angulation present to make the Sclero-Corneal tunnel plane in cataract sx
Keratome
(2.2/2.8/3.2)
pointed tip, cutting edged side, diamond shaped
used while entrying into Sclero-Corneal tunnel in cataract sx
used in phacoemulsification to make Clear Corneal Incision
15 degree sideport
(paracentesis)
used for making side port entry at Limbus to enter into anterior chamber
done for staining(tryphan blue) of anterior capsule
Viscoelastic aka Ocular Viscoelastic Substance
Substance forms anterior capsular bag & chamber
24 gauge
· used to inject trypan blue dye
fine cannula
Subtopic
Cystitome (26/30
Instruments gauge needle bent)
• Used in capsulorrhexis
used in hydrodissection
INTRAOCULAR LENS DIALLER IOL dial
(SINSKY’S HOOK) (less sharp,
Nucleus prolapse
cross section round)
Chopper (sharper,
• used in Hydro delineation
cross section ▴)
Irrigation Vectis
(removal of nucleus)
Wire Vectis
• used in Sandwich technique while removing nulceus
To remove a subluxated or dislocated lens in ICCE
Simcoe's
Irrigation
Aspiration
Cannula
For simultaneous irrigation and aspiration of cortical materials in case of ECCE or SICS
To remove viscoelastic material after insertion of IOL.
May be used to remove blood in hyphema
To measure the size of the cornea, as in buphthalmos, congenital hereditary
Castroviejo's endothelial dystrophy (CHED), megalocornea, microcornea, etc.
calipers • marking in squint sx, intravitreal inj, pars plana vitrectomy, pterygium sx
Desmarres
Lid retractor
foreign body removal
double eversion of eyelid to examine superior fornix
blepharospasm
Chalazion
Clamp
• removal of chalazion
To fix the chalazion for surgery and also to ensure hemostasis
• scraping & removal of chalazion
Chalazion
scoop(CURETTE)
Entropion Clamp
Nettleship's
Punctal Dilator
To dilate the punctum and part of the canaliculus
before introducing lacrimal cannula for syringing.
To dilate the punctum for probing
Bowmen's
Lacrimal Probe
(0-8 size) Congenital punctal stenosis.
Congenital dacryocystitis—if probing fails to achieve the patency of nasolacrimal
To probe nasolacrimal passage in: passage then one should go for DCR.
During DCR to identify the exact position of lacrimal sac for giving incision on
the sac wall
Lacrimal sac
curette with
dissector
• used in DCR, DCT
separation of lacrimal gland from bone
Rouguine
conjunctival sac op
Evisceration
whole of eyeball removal except sclera
scoop
WELLS ENUCLEATION SPOON
corneal rupture treatment
premature cataract sx treatment
Iris repositor
To reposit the iris after the delivery of lens in ICCE or after nucleus delivery in ECCE.
To reposit the iris after iridectomy
- breaking lacrimal bone in dcr, dct
Kerrison
Bone
Nibbling
punch
Muscle hook
• used in Squint sx.
Thermocautery (ball cautery)
• not used now
• used in keratoplasty
Corneal trephine
6.0
Lens
minify-concave, magnify- convex
image moves with movement(same dirn)- concave
move side wise-
image against the movement(oppo dirn)-convex
tilt > image distorted- cylindrical(no handles for ident.), not distorted- spherical(have handle)