INSTRUMENTS
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EYE SPECULUM
Uses- to keep the lids apart during
Any intraocular operation such as cataract surgery
and glaucoma surgery.
Any extraocular surgery e.g. squint, pterygium
surgery.
Enucleation, evisceration.
Removal of conjunctival, corneal FB.
Cauterisation of corneal ulcer.
Examination of eye in a patient with
blepharospasm.
CASTROVIEJO
CALIPER
Used to take measurements
during squint, ptosis, retinal
surgery.
To measure corneal diameter
and visible horizontal iris
diameter.
CRESCENT KNIFE
Blunt-tipped, bevel up
knifehaving cutting and splitting
action at the tip and both the
sides.
USES
Make tunnel incision in sclera
and cornea for
phacoemulsification and SICS,
and suture less trabeculectomy
SIDE PORT ENTRY
BLADE
Straight knife with a sharp pointed tip and cutting
on one side
USES
Used to make a small valvular clear corneal
incision
(Side port incision) in phacoemulsification and
other intraocular surgeries.
KERATOME
Diamond shaped blade with as sharp
apex and two cutting edges.
USES
Valvular, self- sealing corneal incisions
for entry into the anterior chamber.
WIRE VECTIS
It is a wire loop attached to a
metallic handle.
USES
to remove dislocated or
subluxated lens and nucleus in
ECCE.
IOL DIALER
SINSKEYS HOOK
USES
To dial non-foldable IOL for
proper positioning.
To manipulate nucleus.
CYSTITOME
• It is a small needle knife with a
bent tip which is sharp on both the
edges.
• Presently, disposable cystitome is
prepared by bending the
disposable 26 gauge or 30 gauge
hypodermic needle.
• Use: It is used for doing anterior
capsulotomy or capsulorhexis
during extracapsular cataract
extraction.
CHOPPER
Resembles sinskey hook in
shape. The inner edge of the
bent tip is cutting and may have
different angles.
USES
To split or chop the nucleus into
smaller pieces and also for
nuclear manipulation in
phacoemulsification surgery.
IRRIGATING WIRE
VECTIS
• It is a modified vectis in which
loop is made of thick hollow wire.
• Anterior end of loop has 3 0.3mm
openings.
• Posterior end of hollow handle
has hub which can be attached
to syringe or infusion set.
• Uses: Used to deliver nucleus in
SICS and in conventional ECCE
PLAIN FORCEPS
Simple forceps without any teeth.
Serrations (horizontal or vertical)
are present near the tip.
USES
To tie sutures
To hold sclera flap in
trabeculectomy.
To hold skin during eyelid
surgery.
To hold nasal mucosal flaps and
lacrimal sac flaps in DCR
surgery.
CAPSULORHEXIS
FORCEPS
IRIS REPOSITOR
Handle with blade & blunt end.
USES
To reposit iris Into AC.
To break synechiae at pupillary
margin.
CORNEOSCLERAL
FORCEPS
Colibri forceps and Lim’s forceps
These are the forceps with very
fine teeth (1 x 2) at the tip.
Use: These are used to hold the
cornea or scleral edge (of
incision) for suturing during
cataract, glaucoma, repair of
corneal and/or scleral tears and
keratoplasty operations.
DASTOOR SR
HOLDING
FORCEPS
S shaped, double curve near the
tip.
Toothed forceps
To stabilise the eyeball.
KELMAN Mc
PHERSON
FORCEPS
Fine forceps with bent limbs.
USES
To hold IOL during implantation
Suture tying
To tear off ant capsular flap in
ECCE
SIMCOE CANULA
Irrigation and aspiration of the
lens matter.
VANNA’S
SCISSORS
These are very fine delicate
scissors with small cutting
blades kept apart by spring
action. The blades may be
straight or curved.
Uses:
(i) These are used for cutting
anterior capsule of the lens in
extra capsular surgery and
for cutting 10-0 nylon
sutures.
(ii) For cutting inner scleral flap in
trabeculectomy.
(iii) For doing pupillary
sphincterotomy.
(iv) For performing iridectomy.
(v) For cutting pupillary
ENUCLEATION
SCISSORS
They are large, stout and strong
scissors having curved sharp
blades with blunt ends.
Use: They are used to cut the
optic nerve during enucleation
operation.
CORNEAL
SCISSORS
WESTCOTT scissors
Fine, curved.
USES
To undermine conjunctiva.
To enlarge corneal incision in
keratoplasty surgery.
To cut scleral and trabecular
tissue in trabeculectomy.
EPILATION
FORCEPS
These are small stout forceps
with blunt and flat ends.
Uses: These are used to epilate
the cilia in trichiasis and stye, to
remove cilia after electrolysis
and cryolysis and to remove cilia
lodged in the punctum.
BARRAQUER’S TYPE
NEEDLE FORCEPS
• These are available in various
sizes with straight or curved
tips, in different shapes and
may be with or without locking
system.
• The jaws of the needle holder
are finely serrated to hold the
fine needles firmly.
• Used for passing sutures in
the conjunctiva, cornea,
sclera and extraocular
muscles.
LACRIMAL
CANNULA
It is a long curved hypodermic
needle with blunt tip.
Use:
(i) For syringing the lacrimal
passages.
(ii) As AC cannula for putting air,
tryphan blue dye, pilocarpine
and balanced salt solution in the
anterior chamber during
intraocular surgery.
LACRIMAL SAC
DISSECTOR
Cylindrical instrument
One end- blunt tip dissector
Other end- curette
LACRIMAL PROBE
Straight metal wire of varying
thickness( size 0 to 8) with blunt
round ends and flat central
platform.
USES
For probing in CNLDO
To identify lacrimal sac during
DCT or DCR surgery.
BONE PUNCH
To enlarge the bony opening
during DCR surgery
CHISEL
• It consists of a blade having a
sharp- cutting straight edge
with one surface bevelled.
• It has a long and stout handle.
• Use : To cut bone during DCR
and or bitotomy operations.
Hammer
• It is a small steel hammer
attached to a corrugated
handle
• Use : To hammer chisel during
DCR and or bitotomy
operations.
OPTIC NERVE
GUIDE
Spoon like instrument with a
cleavage
USE-
To engage optic nerve during
enucleation.
EVISCERATION
CURETTAGE
Consists of round or oval shallow
cup with blunt margin attached to
a stout handle.
USES
To curettage the intraocular
contents during evisceration
surgery.
ARTERY FORCEPS
• It is a blunt-tipped stout forceps having a scissors-like
configuration. It has multiple straight grooves (at right
angle to the limbs) near the tip and a locking
mechanism near the ringed end.
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.
LID
CLAMP/ENTROPIO
N CLAMP
Advantage over lid spatula- its
self retaining
Disadvantage-
less operative field
pressure necrosis
USES- Ectropion & Entropion
correction
CHALAZION
CLAMP
TWO limbs like forceps
CHALAZION
SCOOP
• It has a small cup with sharp
margins attached to a narrow
handle.
• Use: To scoop out contents of
the chalazion during incision
and curettage.
MUSCLE HOOK
Its similar to lens expessor but
has a Gaurding knob to prevent
slippage of muscle
CAT’S PAW
LACRIMAL WOUND
RETRACTOR
• It is a fork-like instrument with
terminals bent inward.
• Use: It is used to retract skin
during lacrimal sac and lid
surgery.
DESMARRE’S
RETRACTOR
• It is a saddle- shaped instrument folded on itself
at one end. It is available in two sizes: small
(paediatric) and large (adult).
• Use: It is used to retract the lids during
examination of the eyeball in cases of
• Blepharospasm in children,
• Marked swelling and ecchymosis,
• Removal of corneoscleral sutures,
• Removal of corneal foreign body and for double
eversion of upper lid to examine the superior
fornix
PTOSIS CLAMP
J shaped end with internal
serrations
locking mechanism
USE
To hold LPS muscle
BP HANDLE
IOL INJECTOR
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