INSTRUMENTS

Presentation title 2

BASICS OF
INSTRUMENTS
1. Handle type
2. Blade type
Presentation title 3

3. Blade curvature
4. Position of retaining systems
 Presentation title 4

UNIVERSAL SPECULUM
• 2 limbs
• Adjustable / non adjustable mechanism
• Universal: can be used for both eyes
• Light weight
• Adjustable: Lieberman
• Non adjustable: Barraquer
• Pediatric: Weiss
Uses:
1. Surgeries: cataract, glaucoma,
2. Extraocular surgeries: squint, Pterygium,
enucleation/evisceration
3. Examination
4. Foreign body removal
5. Fund us examination
6. Laser procedures
7. Anti-VEGF injections
Presentation title 5

FORCEPS
Handle: grooved, with holes
Shaft: curved, straight , angled
Tip: Plain, serrated, Flat, notched, toothed.
 Key features Uses
Presentation title 6

Plain forceps Grooved Atraumatic handling of

Straight tissues
Smooth tip with Hold conjunctiva,
vertical/horizontal scleral flap, nasal/
serrations lacrimal mucosal flaps
during DCR.

Superior recuts holding AKA Dastoor Forceps To hold superior recuts

forceps Grooved and pass the bridle
S-shaped double curve suture
near tip, first curve is at To provide traction and
7.7 mm field during surgeries :
1x2 teeth cataract, glaucoma

Corneoscleral forceps Colibri Grooved, To hold cornea/sclera

curved/angled, flat, 1x2 in cataract surgery,
fine tooth corneal sclera tears ,
Lim’s Grooved,guard+, keratoplasty, glaucoma
curved/angled, flat, 1x2 filteration surgeries
fine tooth
 Presentation title Key features Uses 7

McPherson foreceps Three round fenestrations in handle or grooves Fine suturing

Straight/angled Holding IOL
Smooth fine tips with triangular tips
arter
Presentation title 8
Key features Uses

Artery forceps Round handle, with locking mechanism Holds traction/stay sutures in oculoplasctic
Straight and curved surgeries
Blunt tip, multiple serration at the tip Catches bleeders
In place of sponge holder
To pack the socket after evisceration

Chalazion clamp 2 lines that can be clamped together Chalazion excision , maintains hemostasis, and
One flat limb and other ring like circular limb exposure
Flat side to the skin and ring side to the
conjunctival side
Presentation title 9

NEEDLE HOLDERS
Presentation title
SCISSORS 10
Presentation title 11

HOOKS AND
SCOOPS
Presentation title 12

CASTERVIEJO
CALLIPER
Divider like instrument
With a scale in mm with an arm attached
to a screw
Uses:
1. Measurements for squint surgeries,
pars plana vitrectomy
2. Measurement of corneal diameter
CATARACT SURGERY
Presentation title
Key features Uses
13
INSTRUMENTS
Keratomes Thin diamond shaped blade with sharp Valvular self sealing incisions into
apex and 2 cutting edges anterior chamber in
Straight or curved phacoemulsification
Various sixes (2.2, 2.8, 3, 3.5 mm)
MVR or V lance blade Small triangular blade, cutting edge Small clear corneal incisions (side
both sides ports) in phacoemulsification, SICS,
TPPV
Crescent Blunt tipped bevel up knife having Sclerocorneal incision “tunnel” in SICS
cutting action at tip and on either
sides, curved blade
Presentation title 14

Key features Uses

Cystitome Small needle with bent tip sharp Anterior capsulorhexis

on both edges using 26 G needle

Wire vectis Wire loop attached to metallic Remove lens and nucleus
handle

Irrigation aspiration cannula Irrigation and aspiration of lens

(simcoe) matter Aspiration of hyphema
 Key features Uses
Presentation title 15

IOL holding forceps Spring action short blunt and curved forceps To hold option of non foldable PMMA IOL during
No teeth or serrations implantation

Kelman –McPherson foreceps Fine bent forceps To hold haptic of IOL

Suture tying
Presentation title 16

Iris repositor
Delicate flat malleable, straight or bent
blade with blunt edges
Uses
To reposition the iris into AC
To break synechiae at pupillary margin
 PUNCHES AND BONE CUTTERS
Presentation title 17

Key features Uses

Kelleys punch Inner large blade with a stout thin rod with cup like Used to punch out trabecular tissue in trabeculectomy
depression having sharp margins
Outer blade is a hollow tube which slides out with
spring mechanism

Bone punch Stout spring handle, with 2 blades attached at right Enlarged bony opening in DCR
angles.
Lower blade has a up like depression, upper blade
has a small hole with sharp cutting edge
 18

Bowman’s Lacrimal Probe Punctum Dilator

Presentation title 19

STEVENSON’S SELF-RETAINING
LACRIMAL SAC RETRACTOR
Presentation title 20
Presentation title 21