Wire speculum

Used to retract lid and hold

eye open in
1.Both intraocular and
extraocular surgery
2.Removal of conjunctival
and corneal foreign
body
3.Cauterisation of corneal
vessels
4.Examination of patient
with blepharospasm
Superior rectus forceps

• Used to hold the

superior rectus while
placing bridle suture
Conjunctival scissors

• A spring action scissor

with curved end and
large blades
• Used for peritomy
Bard parker knife

• To load no.15 blade

with round tip for
corneoscleral groove
in ECCE and first step
in triplanar incision of
SICS
Cystitome

• Used in anterior
capsulotomy and
capsulorrhexis
Corneoscleral scissors
• Spring action scissor
• Used to enlarge
corneoscleral incision
for ECCE
Fine cannula

• For hydrodissection
and intraocular
irrigation using
balanced salt solution.
Iris repositor
1.To reposit iris in any
intraocular surgery
2.To break synechiae at
the pupillary margin
Lens hook
1.To apply pressure at 6
‘o clock position over
the limbus
2.Can be used as a
muscle hook
Needle holder

1. Spring action
2. Used to pass sutures in
conjunctiva, cornea,
sclera and extraocular
muscles
3. Castoviejo’s-used in
extraocular muscle
surgery
Corneoscleral forceps
• Toothed forceps
• Used to hold cornea
and sclera during
corneoscleral suturing
McPherson’s forceps

1.Used in tying suture

2.Used to hold superior
haptic of IOL during
placement
3.Used to tear off
anterior lens capsule
during ECCE
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 sphincterotomy
5. To perform iridectomy
6. To cut pupillary
membrane and lamellar
corneal tissue
Punctum dilator

• To dilate punctum and

canaliculi during
syringing, probing,
DCR, DCT.
CAT’S PAW RETRACTOR

1.Fork like instrument

with terminal tent
inward
2.Used to retract skin in
lacrimal sac and lid
surgery
Lacrimal sac dissector and
curette

• For blunt dissection of

lacrimal sac during
lacrimal sac surgery
• Curetting remnants of
lacrimal sac during
daryocystectomy.
Chisel and hammer
1.Chisel is used to cut
bone in DCR and
orbitotomy
2.Used to hammer the
chisel
Periosteum elevator

• Used to elevate
periosteum in DCR
Bone punch
Used to enlarge bony
opening in DCR by
punching bone from
margins of opening
Chalazion clamp
• To fix the chalazion
and achieve
hemostasis during
incision and curettage
Chalazion curette

1.Small cup with sharp

margins attached to a
narrow handle
2.Used to scoop out
contents of a
chalazion
Optic nerve guide

• Used to engage the

optic nerve during
enucleation
Optic nerve cutting scissors

• Scissor with curved

ends.
• Used during
enucleation for cutting
optic nerve.
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
Metal cannula

• Fine canula 27G or 30 G

• Used
1. To form anterior chamber
2. For hydro-dissection
3. For aspirating air, lens
matter
(j-shaped cannula)