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CATARACT AND GLAUCOMA
INSTRUMENTS
CATARACT
WIRE SPECULUM
Uses. Eye speculums are used to keep the lids
apart
Any intraocular operation such as cataract
surgery and glaucoma surgery.
Any extraocular surgery e.g., squint surgery,
pterygium surgery.
Enucleation and evisceration operation.
Removal of conjunctival and corneal foreign
bodies.
Cauterization of corneal ulcer.
Examination of the eye in a patient with
blepharospasm.
SUPERIOR RECTUS HOLDING FORCEPS
S-shaped double curve near the tip.
TOOTHED FORCEPS
Uses:
• hold the superior rectus muscle while
passing a bridle suture under it;
• to stabilize the eyeball during any
operation such as cataract surgery,
glaucoma surgery, corneal surgery
LIMS FORCEPS
 to hold conjunctiva , cornea, or any structure
Single tooth with a base
Angulated
CONJUNCTIVAL SCISSORS
To cut the conjunctiva to make flap for SICS
For other cutting purposes
CRESCENT BLADE
blunt-tipped, bevel up knife having cutsplitting
action at the tip and both the sides
USES:
It is used to make tunnel incision in the sclera
and cornea for phacoemulsification, manual
small incision cataract surgery (SICS), and
sutureless trabeculectomy.
SIDE PORT
straight knife with a sharp pointed tip and
cutting on one side.
Uses.
It is used to make a small valvular clear
corneal incision (commonly called as side
port incision) in phacoemulsification and
other intraocular surgeries including pars
plana vitrectomy.
VISCOELASTICS
CYSTITOME
SMALL NEEDLE KNIFE with bent tip with
cutiing on both the sides.
Disposable needle are prepared from the 26 G
or 30G hypodermic needles
KERATOME
diamond-shaped blade with a sharp apex and
two cutting edges.
USES:
• Valvular corneal incisions for entry into the
anterior chamber for all modern techniques of
cataract extraction
• self-sealing incisions for phacoemulsification
and manual SICS operation
IOL DIALER
Uses:
(i) to manipulate the nucleus in
phacoemulsification surgery
(ii)to dial PMMA non-foldable IOL for proper
Positioning in the capsular bag or ciliary
sulcus.
WIRE VECTIS
It is wire loop attached to a metallic handle.
Uses:
It is used to remove dislocated or subluxated
lens. and nucleus in conventional ECCE and
SICS.
SYMCOE CANNULA
Irrigation and aspiration of lens matter in
Conventional and SICS.
POST SURGERY
To remove viscoelastic from the anterior
chamber
Kelman-McPherson forceps
These
are fine forceps with bent limbs. Uses:
(i)To hold the superior haptic of IOL during its
placement.
(ii) To tear off the anterior capsular flap in
ECCE.
(iii) Can be used for suture tying.
CHOPPER
resembling sinskey hook in shape. The
inner edge of the bent tip is cutting and may
have different angles.
Uses.
It is used to split or chop the nucleus into
smaller pieces
Nuclear manipulation in phacoemulsification
surgery
CASTROVIEJO CALLIPER
To make measurements for the scleral incision.
It is also used to measure corneal diameter
and visible horizontal iris diameter.
It is used to take measurements during squint,
ptosis, retinal detachment and pars plana
vitrectomy surgery.
Cornea scleral forceps
Uses: 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.
CAPSULORHEXIS FORCEPS
After a flap lens capsule is raised used
For holding lens capsule
Corneal scissors or
section enlarging scissors
Uses: (i) These are used to enlarge corneal or
corneoscleral incision For conventional
intracapsular and extracapsular Cataract
extraction cataract surgery.
(ii) To enlarge corneal incision
In keratoplasty operation.
(iii) To cut the scleral and trabecular
tissue in trabeculectomy.
IRIS REPOSITOR
Handle with blade & blunt end
Uses
• to reposit iris in AC during/after intra ocular
surgery
• To break synechiae at pupillary margin
NEEDLE HOLDING FORCEPS
TO DO SUTURING DURING GLAUCOMA AND
CATARCT SURGERY
SUTURE-TYING FORCEPS
Lens expressor (hook)
It is a flat metal handle with a rounded curve at
one end. Tip of the curve is knobbed. The plane
of the handle is at right angle to the curvature of
the hook.
Uses: (i) To apply pressure on the limbus at the 6
O'clock position During the delivery of lens in
intracapsular cataract extraction with Smith’s
(tumbling) and capsule forceps techniques.
(ii) To express the nucleus in extracapsular
cataract extraction.
(iii) It can also be used as muscle hook if the
latter is not available.
(iv) Also used along with wire vectis to extract
out the dislocated lens
De wecker’s scissors
They are fine scissors with small blades
directed at right angles to the arms. The
blades are kept apart, making V-shape, by
spring action.
Uses: It is used to perform iridectomy,
iridotomy and to cut the prolapsed formed
Vitreous and pupillary membrane.
KELLY’S PUNCH
TO MAKE A CLEAN HOLE IN TRABECULECTOMY
WHICH ACTS AS THE INNER WINDOW
Hydrodissection cannula
BP Handle
Irrigating vectis

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790_ophthalmology_instruments.pptx

  • 3. WIRE SPECULUM Uses. Eye speculums are used to keep the lids apart Any intraocular operation such as cataract surgery and glaucoma surgery. Any extraocular surgery e.g., squint surgery, pterygium surgery. Enucleation and evisceration operation. Removal of conjunctival and corneal foreign bodies. Cauterization of corneal ulcer. Examination of the eye in a patient with blepharospasm.
  • 4. SUPERIOR RECTUS HOLDING FORCEPS S-shaped double curve near the tip. TOOTHED FORCEPS Uses: • hold the superior rectus muscle while passing a bridle suture under it; • to stabilize the eyeball during any operation such as cataract surgery, glaucoma surgery, corneal surgery
  • 5. LIMS FORCEPS  to hold conjunctiva , cornea, or any structure Single tooth with a base Angulated
  • 6. CONJUNCTIVAL SCISSORS To cut the conjunctiva to make flap for SICS For other cutting purposes
  • 7. CRESCENT BLADE blunt-tipped, bevel up knife having cutsplitting action at the tip and both the sides USES: It is used to make tunnel incision in the sclera and cornea for phacoemulsification, manual small incision cataract surgery (SICS), and sutureless trabeculectomy.
  • 8. SIDE PORT straight knife with a sharp pointed tip and cutting on one side. Uses. It is used to make a small valvular clear corneal incision (commonly called as side port incision) in phacoemulsification and other intraocular surgeries including pars plana vitrectomy.
  • 10. CYSTITOME SMALL NEEDLE KNIFE with bent tip with cutiing on both the sides. Disposable needle are prepared from the 26 G or 30G hypodermic needles
  • 11. KERATOME diamond-shaped blade with a sharp apex and two cutting edges. USES: • Valvular corneal incisions for entry into the anterior chamber for all modern techniques of cataract extraction • self-sealing incisions for phacoemulsification and manual SICS operation
  • 12. IOL DIALER Uses: (i) to manipulate the nucleus in phacoemulsification surgery (ii)to dial PMMA non-foldable IOL for proper Positioning in the capsular bag or ciliary sulcus.
  • 13. WIRE VECTIS It is wire loop attached to a metallic handle. Uses: It is used to remove dislocated or subluxated lens. and nucleus in conventional ECCE and SICS.
  • 14. SYMCOE CANNULA Irrigation and aspiration of lens matter in Conventional and SICS. POST SURGERY To remove viscoelastic from the anterior chamber
  • 15. Kelman-McPherson forceps These are fine forceps with bent limbs. Uses: (i)To hold the superior haptic of IOL during its placement. (ii) To tear off the anterior capsular flap in ECCE. (iii) Can be used for suture tying.
  • 16. CHOPPER resembling sinskey hook in shape. The inner edge of the bent tip is cutting and may have different angles. Uses. It is used to split or chop the nucleus into smaller pieces Nuclear manipulation in phacoemulsification surgery
  • 17. CASTROVIEJO CALLIPER To make measurements for the scleral incision. It is also used to measure corneal diameter and visible horizontal iris diameter. It is used to take measurements during squint, ptosis, retinal detachment and pars plana vitrectomy surgery.
  • 18. Cornea scleral forceps Uses: 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.
  • 19. CAPSULORHEXIS FORCEPS After a flap lens capsule is raised used For holding lens capsule
  • 20. Corneal scissors or section enlarging scissors Uses: (i) These are used to enlarge corneal or corneoscleral incision For conventional intracapsular and extracapsular Cataract extraction cataract surgery. (ii) To enlarge corneal incision In keratoplasty operation. (iii) To cut the scleral and trabecular tissue in trabeculectomy.
  • 21. IRIS REPOSITOR Handle with blade & blunt end Uses • to reposit iris in AC during/after intra ocular surgery • To break synechiae at pupillary margin
  • 22. NEEDLE HOLDING FORCEPS TO DO SUTURING DURING GLAUCOMA AND CATARCT SURGERY
  • 24. Lens expressor (hook) It is a flat metal handle with a rounded curve at one end. Tip of the curve is knobbed. The plane of the handle is at right angle to the curvature of the hook. Uses: (i) To apply pressure on the limbus at the 6 O'clock position During the delivery of lens in intracapsular cataract extraction with Smith’s (tumbling) and capsule forceps techniques. (ii) To express the nucleus in extracapsular cataract extraction. (iii) It can also be used as muscle hook if the latter is not available. (iv) Also used along with wire vectis to extract out the dislocated lens
  • 25. De wecker’s scissors They are fine scissors with small blades directed at right angles to the arms. The blades are kept apart, making V-shape, by spring action. Uses: It is used to perform iridectomy, iridotomy and to cut the prolapsed formed Vitreous and pupillary membrane.
  • 26. KELLY’S PUNCH TO MAKE A CLEAN HOLE IN TRABECULECTOMY WHICH ACTS AS THE INNER WINDOW