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Wire speculum Used to retract lid and hold eye open in 1.Both intraocular and extraocular surgery Removal of conjunctival and corneal foreign body Cauterisation of corneal vessels Examination of patient with

Ophthalmology Instruments

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These are the common instruments used in ophtlalmology. Questions on these are asked in the exams for undergraduates.

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Page 1: Ophthalmology Instruments

Wire speculum

Used to retract lid and hold eye open in1.Both intraocular and

extraocular surgery• Removal of conjunctival

and corneal foreign body

• Cauterisation of corneal vessels

• Examination of patient with blepharospasm

Page 2: Ophthalmology Instruments

Superior rectus forceps

• Used to hold the superior rectus while placing bridle suture

Page 3: Ophthalmology Instruments

Conjunctival scissors

• A spring action scissor with curved end and large blades

• Used for peritomy

Page 4: Ophthalmology Instruments

Bard parker knife

• To load no.15 blade with round tip for corneoscleral groove in ECCE and first step in triplanar incision of SICS

Page 5: Ophthalmology Instruments

Cystitome

• Used in anterior capsulotomy and capsulorrhexis

Page 6: Ophthalmology Instruments

Corneoscleral scissors

• Spring action scissor • Used to enlarge

corneoscleral incision for ECCE

Page 7: Ophthalmology Instruments

Fine cannula

• For hydrodissection and intraocular irrigation using balanced salt solution.

Page 8: Ophthalmology Instruments

Iris repositor

1.To reposit iris in any intraocular surgery

2.To break synechiae at the pupillary margin

Page 9: Ophthalmology Instruments

Lens hook

1.To apply pressure at 6 ‘o clock position over the limbus

2.Can be used as a muscle hook

Page 10: Ophthalmology Instruments

Needle holder

1. Spring action2. Used to pass sutures in

conjunctiva, cornea, sclera and extraocular muscles

3. Castoviejo’s-used in extraocular muscle surgery

Page 11: Ophthalmology Instruments

Corneoscleral forceps

• Toothed forceps • Used to hold cornea

and sclera during corneoscleral suturing

Page 12: Ophthalmology Instruments

McPherson’s forceps

1.Used in tying suture• Used to hold superior

haptic of IOL during placement

• Used to tear off anterior lens capsule during ECCE

Page 13: Ophthalmology Instruments

Vanna’s scissors

1. To cut 10 - 0 nylon sutures

2. To cut anterior lens capsule in ECCE

3. To cut the iris tissue during trabeculectomy

4. For sphincterotomy5. To perform iridectomy6. To cut pupillary

membrane and lamellar corneal tissue

Page 14: Ophthalmology Instruments

Punctum dilator

• To dilate punctum and canaliculi during syringing, probing, DCR, DCT.

Page 15: Ophthalmology Instruments

CAT’S PAW RETRACTOR

1.Fork like instrument with terminal tent inward

• Used to retract skin in lacrimal sac and lid surgery

Page 16: Ophthalmology Instruments

Lacrimal sac dissector and curette

• For blunt dissection of lacrimal sac during lacrimal sac surgery

• Curetting remnants of lacrimal sac during daryocystectomy.

Page 17: Ophthalmology Instruments

Chisel and hammer

1.Chisel is used to cut bone in DCR and orbitotomy

2.Used to hammer the chisel

Page 18: Ophthalmology Instruments

Periosteum elevator

• Used to elevate periosteum in DCR

Page 19: Ophthalmology Instruments

Bone punch

Used to enlarge bony opening in DCR by punching bone from margins of opening

Page 20: Ophthalmology Instruments

Chalazion clamp

• To fix the chalazion and achieve hemostasis during incision and curettage

Page 21: Ophthalmology Instruments

Chalazion curette

1.Small cup with sharp margins attached to a narrow handle

• Used to scoop out contents of a chalazion

Page 22: Ophthalmology Instruments

Optic nerve guide

• Used to engage the optic nerve during enucleation

Page 23: Ophthalmology Instruments

Optic nerve cutting scissors

• Scissor with curved ends.

• Used during enucleation for cutting optic nerve.

Page 24: Ophthalmology Instruments

Descemarre’s lid retractor

1. To retract lids for examination of eyeball in children, blepharospasm, swelling of eyelids and chemosis

2. Removal of corneoscleral sutures

3. Removal of corneal foreign body

4. Double eversion of upper eyelid

Page 25: Ophthalmology Instruments

Metal cannula

• Fine canula 27G or 30 G• Used 1. To form anterior chamber• For hydro-dissection• For aspirating air, lens

matter(j-shaped cannula)