Universal Wire eye

Speculam

SS,
2limbs and quadrangular hooks,
Universal coz can br used for both eyes,,
Spring mechanism,
Placed such that limbs remain on Temporal side and point
Downwards,
Cataract surgery,

FOR TEMPORAL INCISION PHAVOEMULSIFICATION SURGERY

Mirror imaged wire is used
Lies nasally, points upwwrds.
SS,
With tooth
Distance of band from tipnis 7.7mm
Used to hold sup rectus while passing bridle suture beneath sup
rectus which helps innbetter exposure of SUPERIOR SCLERA and
FIX EYEBALL,
Cataract surgery, anti glaucoma surgery, keratoplasty
 Lims forcep
Toothed forceps
Have one into ttears, terdigitating teeth
Used to hold CORNEA and SCLERA during dissection and
suturing in various surgeries like cataract, trabeculectomy,
repair of scleral and corneal tears, keratoplasty

Have a platform behind tip, so uses as typing forceps

 Kelman-
Mcpherson forceps
Non toothed,
Smooth and bent tip with 5mm long angled platform,
Uses:
1>Handling INTRA OCULAR LENS during its placement.
2>To tear off ant capsule flap in ECCE (Extracapsular cataract
extraction)
3>typing 8-0 to 11-0 sutures
4>removal of sutures
5>burying knots of 10/0 or 11/0 sutures
 Tying forceps (curved
or straight)
Delicate non toothed,
Atraumatic
Uses:
1>Holding delicate structures like conjuctiva, cornea, et
2>typing 8-0 to 11-0 sutures
3>removal of sutures
4>burying knots of 10/0 or 11/0 sutures
Castroviejo’s Needle
Holder

Medium sized,
Spring action needle,
With s Shaped locking system or without lock,

Used in
CONJUCTIVAL Suturing in pterygium surgery, trabeulectomy,
conjuctival tear repair.
SQUINT surgery.
Make bent 26 gauge needle cyctitomes for cappsulorrhexis in
cataract surgery.
 ARRUGA, STEVEN’S, SILCOCK
AND KALT
NEEDLE HOLDER
Large needle holder,
Broad Plate on top to accommodate surgeons thumb,

Used
Along with Dastoors sup rectus forceps to pass bridle suture.
For taking sutures on lid for retraction during surgeries like cataract,
keratoplasty.
Lid surgeries.
 CASTROVIEJO’S
CORNEOSCLERAL
SCISSORS
Fine curved scissors,
Curvature of blades aligns with limbal curvature,
Cutting edges are kept apart by spring action,

Uses
1>enlarging corneal or corneoscleral incision in convectional
cataract surgeries, keratoplasty
2>peritomy
3>cutting of conjunctiva in SICS, trabeculectomy, enucleation,
evisceration

Special scissors with rt. and lt. cutting edges is used in dissecting
host button in keratoplasty
VANNA’S SCISSORS
Fine and this scissors
Uses
1. Suture removal
2. Cut 10-0 sutures while suturing cornea or conjunctiva
3. Iridectomy
4. Pupillary sphincterotomy
5. Cut pupillary membranes
6. Cut sclera in anti glaucoma surgery
7. Vanna’s with long and delicate blades is used to cut flap of
ant capsule of lens
HEAT BALL CAUTERY
SS,
Ball near the tip made of copper which stores heat when heated
with spirit lamp and transmits to the tip,
Tip is applied to BLEEDERS to cauterize them,
Handle is fashioned to not transmit heat along the length.
Heat transmission is not uniform

Uses
1. Control bleeding in surgeries
2. Cauterize LACRIMAL PUNCTA in temporal punctal occlusion
(collagen lacrimal plugs used now)

Applied only to episcleral tissue and not conjunctiva or cornea

WET FIELD CAUTERY: bipolar cautery, electrically operated,

UNIFORM HEAT TRANSMISSION
SS,
Has serrations for better holding,
Diff sizes,
Hold blade in position,
Reusable,
No.11 STAB
No.15 PLASTIC SURGERY
SS,
Curved rounded blade,
Available as pre sterilized individual unit,

Uses
1. Make initial scleral incision in creating sclero corneal tunnel
in SICS and ECCE
2. Dissecting scleral flap in trabeculectomy
3. Dissecting pterygium head from cornea
 CRESCENT KNIFE
Thin crescentic blunt tip bevel up or down,
Cut splitting action at tip and sides,
45degree forward angulation for better and parallel movement,
Tip can be mounted on metal or plastic handles,
Also available as per sterilized units

Uses
1. Make corneo scleral tunnel
2. Dissect crnea in lamellar keratoplasty
3. Dissecting scleral flap in trabeculectomy
4. Dissecting pterygium head from cornea
 SIDE PORT KNIFE/
15 degree LANCE TIP
Fine straight knife with sharp pointed tip and cutting tip on one side

Uses
1. Make small clear corneal valvular incisions k/a side port incisions in
phacoemulsification and other surgeries
2. Make ant chamber paracentesis
3. Perforate ant chamber during trabeculectomy
4. Puncture chalazion in chalazion excision
CYSTITOME/CAPSULOTOME
Small needle with bent tip,
Sharp on both edges,
26G or thinner needle,
Disposable,

Uses
1. Ant capsulotomy or capsulorhexis in cataract surgery
2. Nucleus rotation and manipulation
3. Relaxing capsulorhexis in SICS or ECCE if nucleus is much larger than
rhexis
4. Post casulotomy in dense membranous PCO
5. Primary post capsulorhexis in pediatric cataract
KERATOME Thin diamond/spear shaped tip,
Sharp tip,
2 cutting edges,
St or curved,
Diff sizes,
2.8mm 3.2mm 3.5mm
mounted on metal or plastic handles,
Also available as per sterilized units

Uses
1. Make valvular self sealing corneal incisions for entry into ant
chamber for surgeries, iridectomy, paracentesis
 MCINTYRE IRRIGATING
WIRE VECTIS
Loop made of thick hollow wire,
LOOP: 4mm wide, 8mm long, concave sup surface to accommodate lens, ant end has 0.3mm
opening to allow continuous irrigation, post end continuous with hollow handle attached to
bulb

Uses
1. Remove subluxated or dislocated lens
2. Deliver nucleus to SICS or ECCE
 SIMCOE’S 2 WAY
IRRIGATION-
ASPIRATION CANNULA
Dual function- irrigation and aspiration,
DIRECT method: irrigation thru main hub, aspiration thru
syringe attached to side of main hub via a delicate tube
REVERSE method: vice versa

Direct method helps keeping post capsule away from

suction force
Used for
1. Manual aspiration of lens cortex in cataract surgery
2. Remove viscoelastic from ant chamber after surgery
3. Aspiration of hyphema
 SINSKEY HOOK/
IOL DILAER
Fine bt stout,
Bent tip,

Uses
1. Use to dial PMMA non foldable IOL or foldable Iol for proper positioning in capsular bag
or ciliary sulcus
2. Manipulate nucleus in phacoemulsification surgery
AIR CANNULA/ HYDRO
DISSECTION CANNULA
SS or titanium,
Long and curved,
26G or 27G

Uses
1. Inject air in ant chamber after cataract surgery or after
trypan blue staining
2. Inject balanced salt sol in hydrodissection, hydrodelination,
hydration of ports and formation of ant chamber after
cataract surgery (flatter tip)
3. For lacrimal sac syringing and deliver intracameral drugs
(rounded tip)
 CASTROVIEJ’S
CALLIPER
2 limbs, one of which can be moved by screw,
Pointer on scale reads in mm,

Uses
1. Corneal diameter in megalocornea, microcornea, buphthalmos
2. Amt of muscle to be resected in squint or ptosis
3. Measure size of scleral flap in anti glaucoma surgery
4. Measure size of corneal opacity for size of req corneal button in
keratoplasty
5. Measure conjunctival graft size
6. Mark location of pars plana for intravitreal inj and vitrectomy
7. Measure surface of sclera for buckle placement in retinal detachment
surgery
8. Measure horizontal visible iris diameter
 NETTLESHIP PUNCTUM
DILATOR
SS,
Serrations on body for better hold,
Straight rounded conical tip,

Used to dilate punctum prior to

1. Lacrimal syringing
2. Probing of lacrimal system
3. Probing in DCR or DCT
4. Punctal stenosis
 BONE PUNCH
Spring handle,
2 long blades,
Upper blade has a hole with sharp cutting edge,
Lower blade has a cup like depression,

Uses
1. Widen osteotomy during convection DCR surgery (lacrimal
bone and frontal process of maxilla)

NO BONE IS CUT DURING DCT (DACRYOCYSTECTOMY)

 CHALAZION CLAMP
2 limbs clamped with a screw,
Solid plate at the tip of one limb, paced ext on skin
Ring shape blade at the tip of other limb, on conjunctival surface after2%lignocaine
infiltration locally in eyelid

Uses
1. To hold the lid during incision and cutterage of a chalazion and achieve hemostatis
during surgery

Enclose chalazion in ring, tighten and fix the clamp,

Excessive tightening can cause PRESSURE NECROSIS
 CHALAZION SCOOP
Round cup shaped tip attached to handle,
Diff sizes, select acc to size of chalazion,
Edge of cupped tip is slightly sharp,

Uses
1. Roscoop out contents of chalazion and curette base after making VERTICAL incision in
palpebral surface of chalazion (vertical incision yo prevent damage to neighboring
MEBOMIN GLANDS AND ITS DUCTS)

after scooping, cauterize with 5% povidone iodine,

Hemastatis achieved with pressure and then apply bandage
 EPILATION FORCEPS
Small stout forceps with blunt flat ends

Uses
1. Epilation of cilia in TRICHIASIS and STYE

Epilation is not a permanent procedure and cilia can grow back

ELECTROLYSIS is a permanent procedure and destroys root

 EVICERATION SPATULA
Small rectangular blade with slightly concave surface and blunt edges,

Uses
1. Separate uveal tissue from scler aduring evisceration and deliver it out

EVISCERATION
Optic nerve and surrounding sclera are left behind
(to prevent infection spread to meninges and aid healing) and rest of the contents of eyeball
are removed
Indications:
• Panophthalmitis is not responding to medical management and [possess threat of
cavernous sinus thrombosis or orbital cellulitis
• Badly perforated eyeball
• bleeding ant staphylomas
 OPTIC NERVE GUIDE
Spoon shaped with central cleavage,

Uses
1. Engage optic nerve during enucleation
2. To protect eyeball and support it so that globe is not perforated while cutting optic nerve
 snellen chart
Distance btwn chart and subject: 6ft or 20m,
REVERSE SMELLEN CHART: 3ft or 10m opposite to mirror
Numerator: distance btwn chart and patient,
Denominator: distance a which a person with normal visison is able to read,
Eg 6/6 6/9 6/12 6/18 6/24 6/36 6/60
Yet not able to read, move the patient to 5m
5/60
4/60
3/60
2/60
1/60
Yet not able to read, count fingers
Not able to count, move hand and ask if he is able to see
Not able to distinguish hand movement, check if he can perceive light or not
 DISTANT VISION
CHARTS
SMELLEN CHARTS

For children and illiterate

 Used to acrry lens during subjective and objective
MADDOX TRIAL refraction,
3-4 slots
Innermost: spherical lens
FRAME Middle: cylindrical lens
Outermost: presbyopic correction

Fourth innermost in some for high powered lens

knob to set IPD (inter pupillary distance)

Available in adult and pediatric sizes

Uses
1. Subjective correction
2. Visual acuity testing
3. Retinoscopy
4. Pi hole test
5. Presbyopia correction
6. Malingering test
7. Special tests like Maddox rod, prism etc
LENS
Concave and convex lens
OCCLUDAR Uses
1. In visual acuity testing to occlude the eye which is not being tested
2. Cover uncover test
3. Occlusion therapy in treatment of amblyopia in children
4. In paralytic squint to avoid diplopia
PIN HOLE Black disc with o.5mm to 1.5mm diameter fenestration in centre.

PIN HOLE TEST

 DIRECT
OPHTHALMOSCOPE
SCHIOTZ TONOMETER
MOSQUITO ARTERY
FORCEPS
Ratcheted haemostat to secure and clamp bleeding vessels

Grasp delicate tissues

 CURVED SCISSOR
Cut optic nerve during enucleation
SYRINGE
SCHIRMER STRIP
Schirmer test to evaluate aqueous tear production
IRIS REPOSITOR

Remove iris during post chamber maneuvers

FLUROSCENCE STRIP

Fluorescein dye

Detect eye injuries such as foreign bodies and corneal abrasions