List of instruments used in ophthalmology 1

List of instruments used in ophthalmology

Instruments used specially in Ophthalmology are as follows: [1]
__Forcetoc__

Instrument list
Instrument Uses

Spectacles (glasses) to correct refractive errors of the eye; not invasive

Contact lenses to correct refractive errors of the eye; a little invasive

Phoropter used in refraction testing

Tonometers used to determine the intraoccular pressure (IOP) - useful in glaucoma; vide link for various types of
tonometers.

Speculum: to keep the eyes open during any operation

Universal eye speculum -do-; heavy instrument and can not keep eyelashes out of the operating field

•Guarded eye speculum (left and -do-; heavy instrument but can keep eyelashes out of the operating field with its "guard" and hence left or right
right) ones are required

•Wire Speculum to keep the eyes open during any operation; light wire instrument

Needle holders: holding the needle in position while applying sutures

•Silcock's needle holder -do-; has a catch and is used for heavier gauge needles; used mainly for skin, muscle and corneal incisions

•Arruga's needle holder -do-; has a catch (lock) and is used for heavier gauge needles (thicker than 6-0); used mainly for skin, muscle
and corneal incisions

•Barraquer's needle holder -do-; small instrument with a spring action with or without a catch used for finer gauge needles (5-0 or finer);
[2]
used mainly for intraoccular incisions

Forceps: to hold anything

•Artery forceps (haemostat) medium sized, with a serrated tip and a catch; used to hold bleeding vessels and compress them in order to
make them stop bleeding and also to hold or crush structures.

•Fixation forceps has a few teeth at the tip; for holding structures and restricting their movement or to hold small swabs

•Plain dissecting forceps blunt untoothed with a serrated tip; for holding structures and restricting their movement or to hold small
swabs

•Iris forceps fine tipped (straight or otherwise) with small teeth; to hold the iris tissue during procedures

•Elschnig's intracapsular forceps fine untoothed forceps for holding tissue, swabs, sutures, etc.; removing things like clots, capsule fragments,
lens, etc.; used in cataract surgery

•Arruga's intracapsular forceps fine untoothed forceps holding tissue, swabs, sutures, etc.; removing things like clots, capsule fragments, lens,
etc.; used in cataract surgery

•Colibri forceps fine toothed forceps for holding flaps of cornea or sclera and rarely the iris

•Saint Martin's forceps holding flaps of cornea or sclera and rarely the iris

•Superior rectus holding forceps specially curved (to fit into the orbit of the eye) forceps for catching hold of the muscle bellies of the
intraorbital muscles and sutures

•Suture tier forceps fine limbed untoothed forceps to hold fine sutures or hairs

•Capsulotomy forceps to tear the anterior capsule of the lens during cataract surgery

•Disc holding forceps used in glaucoma surgery (obsolete)

List of instruments used in ophthalmology 2

•Capsulorhexis forceps fine sharp-tipped untoothed forceps for doing a continuous curvilinear incision and removal of the anterior
capsule of the lens ("continuous curvilinear capsulorhexis - ccc")

•MacPherson's forceps fine sharp-tipped untoothed forceps with an angulation for holding parts of the lens, the intraocular lens, 10-0
(very fine) sutures, etc.

•Chalazion forceps (clamp) self-retaining with discoid ends; used to hold and prevent a chalazion from bleeding during its surgery

•Epilation forceps (Cilia forceps) stout flat-ended blunt forceps with a thickened end to remove eyelashes

•Entropion forceps self-retaining with big discoid ends used to hold and prevent an entropion from bleeding during its surgery

Chalazion scoop to remove the granulation tissue from a chalazion during surgery

Entropion clamp right and left varieties exist; large clamp with two limbs; self-retaining with big discoid ends used to hold and
prevent an entropion from bleeding during its surgery

Nettleship's punctum dilator to dilate the lacrimal punctum of the lacrimal apparatus of the eye for syringing or operations

Cystitome a 26 gauge needle bent twice used for incising the anterior capsule of the lens in lens extraction

Wire vectis a loop of wire attached to a stack used to extract cataract affected lenses

Irrigating vectis a small hollow instrument with a used to introduce fluid into the anterior chamber to raise its pressure to aid
[3]
cataract extraction

Canula used to carry fluid

•Irrigation-aspiration two-way effectively two small canulae fitted together, one to introduce fluid and the other to extract the cortical
canula materials, blood, etc. in eye operations

•Lacrimal canula small curved canula the size of a syringe needle used to introduce fluids or drugs into the nasolacrimal passage
to test its patency or during surgery (dacrocystography, dacrocystectomy, dacryocystorhinostomy(DCR), etc.

Lang's lacrimal dissector with for blunt dissections and cleaning during operations like dacryocystorhinostomy
scoop

Rougine dissection of lacrimal sac

Retractor to pull and hold overlying tissue out of the operating field

•Muller's self retaining adjustable -do-; self retaining haemostatic

haemostatic retractor

•Cat's paw retractor -do-

•Desmarre's lid retractor -do-; specially for noncooperative patients and to see the fornices (see human eye)

Bone punch to fracture pieces from a thin bone in facial surgery and during operations like dacryocystorhinostomy

Evisceration spoon or scoop removing all the contents of the eyeball during evisceration (complete removal of all structures within the eye
in diseases like endophthalmitis

Lid plate flat large instrument that has a groove and is placed between the lid and globe of the eye to provide a solid
support for eyelid surgery

Hammer, chisel and bone gouge bone cutting and shaping

Bowmen's discission needle [4]

microsurgery of the lens capsule

Knives to cut structures

•Surgical scalpel with small blades general purpose instrument

•von Graefe's cataract knife cutting out of the anterior chamber from the inside through the limbus

•Tookes' knife (Sclero-corneal making sclerocorneal tunnels in "small incision cataract surgery (SICS)" and keratoplasty
splitter)

•Crescent knife (Sclero-corneal making sclerocorneal tunnels in "small incision cataract surgery"
splitter)
List of instruments used in ophthalmology 3

•Angular keratome making sclerocorneal tunnels in "small incision cataract surgery"; larger one used to increase the size of the
incision

•Side-port blade making sclerocorneal "side port" (a secondary tunnel) tunnels in "small incision cataract surgery"

•Beer's knife incise the conjunctiva or the eyelid skin

•Keratotome small triangular blade with two sharp edges used to incise the limbus (sclerocorneal junction)

•Zeigler's knife very tiny knife for intaoccular maneuvers specially when space is less

Scissors -

•Conjunctival sac scissors flat small curved scissors to cut the conjunctive

•Corneal spring scissors medium spring-open used to cut the external side of the cornea, fine sutures; iris, etc.

•de' Wecker's iris scissors small slender spring-open scissors for intraoccular maneuvers (iris and deeper and more delicate structures);
has two wings to operate it and one sharp and one blunt blade.

•Vannas' scissors small slender spring-open scissors for intraoccular maneuvers (iris and deeper and more delicate structures);
has two wings to operate it and one sharp and one blunt blade.

•Enucleation scissors thick scissors used to cut the optic nerve in enucleation operation

Bowman's lacrimal probe probing the nasolacrimal duct

Lens expressor used to force out the lens in extracapsular or intracapsular cataract extraction

McNamar's spoon used to force out the lens in intracapsular cataract extraction

Iris repositor two limbed instrument used to remove the iris during posterior chamber maneuvers

Sinsky's hook intraocular lens angulated round hook with a handle used in insertion of an intraocular lens
dialler

Strabismus hook muscle hook or squint hook; sharp tip or knobbed tip; used in squint surgery

Foreign body spud and needle Spud to remove superficial and needle for the deep foreign bodies in the eye

Elliot's trephine with handle used in corneal donation (eye donation) to cut out the cornea in a circular fashion

Castroveijo's calipers various measurements are taken

Castroveijo's corneal trephine used in corneal donation (eye donation) to cut out the cornea in a circular fashion

Pin-hole testing visual acuity

Red green goggles (red - right side & green - left side) used in Worth 4 dot test, diplopia testing

Prisms to diagnose squints; in other instruments; refractive correction; etc.

Placido's disc to assess the condition of the corneal surface

Retinoscope objective determination of refractive error and for looking inside the eye

Loupe used ot search for magnified examination of the anterior segment of the eye (uniocular or binocular)

Jackson's cross cylinder used to check the power and axis of a cylindrical lens

Maddox rod used to test for latent squint and retinal function

Refraction box has lenses of different powers for refraction testing

Slit lamp bimicroscope used for examining the anteriorly placed structures the eye; vide link

Charts for vision -

•Distant vision to determine visual acuity of distant vision

••Snellen's distant vision chart -do-; for those who can read in English

••Regional language charts -do-; for those who can read in their local language

••E Chart -do-; for those who can not read

••Landolt's broken ring chart -do-; for those who can not read
List of instruments used in ophthalmology 4

••Toys pr picture chart -do-; for children

•Near vision -do-; to determine visual acuity of near vision

••Jager's chart -do-

••Printer's types of N series -do-

••Snellen's near chart (1/17th -do-; standard chart of alphabets; vide link
reduction of distant chart)

•Colour vision: to test colour vision

••Ishihara's chart to determine the type of colour blondness

Stenopaeic slit detection of axis of the cylindrical (astigmatism) power of the eye; glaucoma testing

Implants -

•Intraocular lens prosthetic lenses implanted after lens (anatomy) removal

•Artificial eyes as non-functional cosmetic implants into the eye socket

Blade breaker to break disposable blade after use to prevent reuse

Thermo-cautery to coagulate blood vessels and prevent haemorrhage

Cryoprobe to freeze and extract the lens

Yttrium aluminium garnet laser to correct posterior capsular opacification (specially after removal of a cataract, if required), peripheral
(YAG laser) [5]
iridotomy, retinal surgery, laser-assisted sub-epithelial keratectomy (LASEK) etc.

Electrolysis used for permanent hair removal

Electrocautery for electrosurgery

Phacoemulsification used for extraction of a cataract affected lens after emulsifying it using a high frequency (energy) ultrasound
[6]
probe

Image gallery

Glasses Contact lenses Plain dissecting forceps Artery forceps or

Haemostat

Mosquito forceps Linen holding forceps Bowman's lacrimal probe Saint Martin's forceps
List of instruments used in ophthalmology 5

Eye Lens expressor Nettleship's punctum dilator Small scissors Scalpel with bl;age attached

Conjunctival sac scissors Barraquer's needle holder Lacrimal sac dilator with scoop Muller's retractor, top view

Muller's retractor, Angular keratotome Long dissecting forceps Universal eye speculum
bottom view

Rougine Iris repositor Irrigating vectis Lacrimal dissector with

scoop

Special blades von Graefe's cataract knife Foreign body spud and needle Cystitome

Angular keratotomes Barraquer's needle holder A bone punch Callipers

List of instruments used in ophthalmology 6

Corneal spring scissors Intraoccular Intraoccular lens in place Intraoccular lens "dialer"
lenses in their or Sinsky hook
cases

Irrigating aspirating bi-way Lenses used for refraction testing A retinoscope Suture tying forceps for fine
cannula sutures like 8-0

Upper one: Suture tying forceps; Upper right: Corneal spring Vanna's scissors Wire speculum
Lower one: Iris forceps; For scissors; Lower left: Vanna's
comparison scissors; for comparison

Wire vectis Plain dissecting forceps Thermocautery A standard

illuminated E
chart
List of instruments used in ophthalmology 7

A standard A set of lenses used in refraction Ishihara Plate 9 Ishihara Plate 23

illuminated testing
Snellen's chart for
distant vision

A phoropter NdYAG Laser Lacrimal canula Tip of Applination Tonometer

Tonopen tonometer Hand-held transpalpebral Diaton

tonometer

References
[1] Ophthalmology Oral & Practical 3rd edition, by Dr. Samar K. Basak, ISBN 81-86793-66-6
[2] http:/ / en. wiktionary. org/ wiki/ intraoccular
[3] Irrigating vectis - Patent 4479802 (http:/ / www. freepatentsonline. com/ 4479802. html)
[4] Billson FA, Thurgood R, Perriam DJ (December 1975). "Discission needle" (http:/ / bjo. bmj. com/ cgi/ pmidlookup?view=long&
pmid=1218187). Br J Ophthalmol 59 (12): 741. doi:10.1136/bjo.59.12.741. PMC 1017447. PMID 1218187. .
[5] US FDA/CDRH: LASIK - Learning About LASIK (http:/ / www. fda. gov/ CDRH/ LASIK/ )
[6] Untitled Document (http:/ / www. eyesurgeryinstitute. com/ surgical_treatments. html)
Article Sources and Contributors 8

Article Sources and Contributors

List of instruments used in ophthalmology  Source: http://en.wikipedia.org/w/index.php?oldid=425658601  Contributors: AndrewHowse, Bender235, Dana boomer, Fratrep, Galoubet,
InsufficientData, M-le-mot-dit, Nono64, Pince Nez, R00m c, RDBrown, Rjwilmsi, Sarindam7, Skysmith, Srleffler, Tkynerd, William Avery, Woohookitty, ^DevelopAll, 5 anonymous edits

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