Opthal instruments

Cystitome or capsulotome
➢Disposable 26 gauge or 30
gauge hypodermic needle.
USE:
➢-For doing anterior capsulotomy
➢-capsulorrhexis during ECCE
Chalazion clamp
➢2 limbs like a
forceps,which can be
clampled with the help of
screw.
➢Tip of one limb is flattened
in the form of round disc
while the tip of other arm
has a small circular ring .
➢Usually,the flat disc is
applied on the skin & ring
on the conjuctivlal side of
the chalazion.

➢USE:-
➢To fix the chalazion & achieve
hemostasis during the incision
& curettage operation.
Spring action
(Barraquer’s type)
Needle holder
USE:-
➢For passing sutures in
the conjuctiva, cornea,
sclera & extra occular
muscle.
Lacrimal sac disscetor
& curette
➢Here, one end of which is
a blunt tipped dissector &
the other end is curetted.
USE:-
➢In lacrimal surgery.
speculum
Castrovijeo calliper
Use:-
➢To take measurement
during squint, ptosis,
retinal detachement &
pars plana vitrectomy
surgery.
➢To measure the corneal
diameter & visible
horizontal iris diameter.
Enucleation spoon
➢Spoon-shapped
instrument .
USE:-
➢ To engage the optic
nerve during
enucleation.
Bone punch
Use:-
➢To enlarge the bony
opening during DCR
operation by punching the
bone from margins of the
opening.
➢Carelessness during the
step can cause accidental
damage to the nasal
mucosa & the nasal
septum.
Towel clamp
Punctum
dilator(Nettersip’s)
Use:-
➢To dilate the the punctum &
canaliculus during syringing,
probbing , dacryocystography , DCT
& DCR procedures.
Lid clamp or entropion clamp
➢ Advantage over
lid spatula:-
➢It’s a self-retaining
instrument & doesn’t need
any assist to hold.

➢Disadvantage:-
1. Less operative field
2. Pressure necrosis can
occur if fitted tightely.

➢ USE:-
➢ In lid
[Link] &
ectropion correction.
➢ It protects the
eyeball,supports the lid
tissues & provide
hemostasis during surgery.
 MOSQUITO CLAMP or
Small sized artery forceps
➢Mosquito artery
forceps:-it’s a small
artery forceps .
➢Most commonly used
in opthalmology
 Superior rectus holding forceps

USE:-
➢Hold the superior rectus
muscle while passing a
bridle suture as cataract
surgery, glaucoma surgery,
corneal surgery, etc.
 Artery(Hemostatic forceps)
➢It’s a blunt-tipped stout forceps
having a scissors-like configuration.

➢USE:-
I. To catch the bleeding vessels
during operations of the lid &
lacrimal sac.
II. To hold the skin & muscle
stay sutures.
III. To hold small ‘pea-nut’ gauze
pellets for blunt dissection in
lacrimal sac surgery & other
extraoccular surgery.
IV. To hold gauze piece while
packing the socket after
enucleation or exenteration
operation.
 Desmarre’s lid retractor
USE:-
➢To retract the lids during
examination of the eyeball in cases
of blephrospasm in childreen,in
cases with marked swelling &
ecchymosis, removal of
corneosclerosis sutures, removal of
corneal foreign body & for double
everion of upper lid to examine the
superior fornix.

➢Advantage:-
➢Allows continuous adjustment of
the lids & width of the palpebral
aperature.
Tooth forceps
Muscle forceps with side
lock
Corneal scissors
 Corneal scissors
Use:-
i. These are used to enlarge
corneal or corneoscleral incision
for conventional intra capsular &
extra capsular cataract
extraction techniques of
cataract surgery.
ii. To enlarge corneal incision in
keratoplasty operation.
iii. To cut the scleral and trabecular
tissue in trabeculectomy.
iv. Used for cutting & undermining
conjuctiva in various operation
Arruga’s,steven,silcock’s
& kelt needle holder
USE:-
➢Very commonly used in
lid surgery & also for
passing superior rectus
suture.
 Plain forceps
USE:-
1. To hold the conjuctiva
during any surgical
procedure.
2. To tie sutures.
3. To hold scleral flap in
trabeculectomy.
4. To hold skin during
eyelid surgery.
5. To hold nasal mucosal
flaps & lacrimal sac
flaps in DCR operation.
Muscle(strabismus)
hook
USE:-
1. Used to engage the
extraocclar muscles
during surgery for
squint,enucleation &
retinal detachment.
2. In the absence of lens
expressor, it may be
used in its place.
Iris forceps
USE:-
➢To hold the cornea &
Scleral edge for suturing
during cataract, glaucoma,
repair of corneal &/or
scleral tears & keratoplasty
operation.
 Sinskey hook or IOL dialer
USE:-
➢To dial the PMMA non-
foldable IOL for proper
positioning in the capsular
bag or cilliary sulcus.
➢To manipulate the
nucleus in
phacoemulsification
surgery.
➢Nucleus manipulation
may be in the form of
nucleus rotation in the
capsular bag, cracking of
the nucleus & feeding of
the nuclear fragments into
the phaco tip.
Use:-
chopper
➢ to split or chop the
nucleus into smaller
pieces and also for
nuclear manipulation
in phacoemulsification
surgery.
 Lens spatula

Use:-
➢To apply counter-
pressure @ 12 o’clock
position during expression
of nucleus in ECCE.
➢In the era of ICCE, it was
used in a similar way to
extract catactous lens in
smith’s technique.
Bart parker Knife holder with blade
Epilation forceps

USE:-
➢To epilate the cilia in
trichiasis & stye .
➢To remove cilia after
electrolysis & cryolysis & to
remove cilia loged in the
punctum.
Cat’s paw lacrimal wound
retractor
➢It’s a fork-like
instrument.

USE:-
➢To retract the skin during
lacrimal sac & lid surgery.
Two way irrigation &
aspiration cannula

USE:-
i. For irrigation &
aspiration of the lens
material in ECCE.
ii. Aspiration of
hyphaema.
 Iris repositor
USE:-
➢To reposit the iris in the
anterior chamber in any
IOL surgery.
➢To break synechiae at the
pupillary margin.
 (Nettleship’s)punctum dilator
USE:-
➢To dilate the punctum &
canaliculus during
syringing, probing,
dacryocystography, DCT &
DCR procedure.
 Lacrimal probe(Bowmam’s)

USE:-
i. To probe nasolacrimal
duct in congenital
blockage.
ii. To identify the lacrimal
sac during DCT & DCR
operations.
 Lid spatula
USE:-
➢ To protect the globe &
support the lid during
entropion, ectropion,
ptosis, & other lid
surgeries.
 Fine needle holder
USE:-
➢To hold the tip of the
needle.
 LENS
[Link] lens
[Link] lens
Pin hole lens
➢USE:-
➢For pin-hole test.
Stenopaeic slit
USE:-
➢For diagnosis of
astigmatism.
Keratomes
USE:-
➢To make valvular
corneal incision for
entry into the anterior
chamber for all modern
technique of cataract
extraction.-
phacoemulsification
➢ -ECCE
➢ -SICS
➢Other Intraoccular
surgeries,e.g.
➢ -iridectomies
➢ -paracentesis
Crescent knife
USE:-
➢To make tunnel incision
in the sclera & cornea for
phacoemulsification,
manual SICS & sutureless
trabeculectomy.
15* side port entry
blade

USE:-
➢To make a small valvular
clear corneal incision in
phacoemulsification &
other intraocular surgeries
including pars plana
vitrectomy.
 IOL folding injector
USE:-
➢To inject the intraoccular
lens in cataract surgeries
Kelman-Mc Pherson
forceps
USE:-
➢To hold the superior
haptic of IOL during its
placement.
➢To tear-off the anterior
capsular flap in ECCE.
➢Can be used for suture
tying.
Universal metallic
eye speculum

USE:-
➢Use for both eyes.
Mechanism:-
➢Has two limbs & a spring
mechanism with a screw to
adjust the limbs.
➢Its blades are open.
Slit-lamp
Tonometry
Nd-Yag laser
USE:-
➢In after cataract
complications.
➢In the treatment of
glaucoma.
Maddox rod
Schiotz tonometer
USE:-
➢To measure the
intraoccular pressure.