Ophthalmology instruments By Prof.Dr.R.R.Deshpande

Ophthalmology Instruments

• Presented By –

• Dr.R.R.Deshpande

7/10/2015 Prof.Dr.R.R.Deshpande 1


Ophthalmology Instruments

• Presented By –

• Prof.Dr.R.R.Deshpande (M.D in Ayurvdic

Medicine & M.D. in Ayurvedic Physiology)

• www.ayurvedicfriend.com

• Mobile – 922 68 10 630

• [email protected]

http://www.ayurvedicfriend.com/

mailto:[email protected]

Special Thanks

• Ayurved College ,Nigdi ,Pune 44

• Dr.Rohini Bhadane ,Past student & Topper


Utility of this PPT

• Final Year BAMS students can make

many time revisions ,if they download this

PPT & save in their Smart Phone

• This is very useful for spotting & oral of

University Examination

• Teachers can get helping hand of this PPT

for teaching with LCD projector



Ayurved for General Practioner

• Very very popular

Book in Medical

Practioners

• 100 common

symptoms of General

Practice with

causes,Investigations

& Ayurvedic

Treatments


Clinical Examination

• Systemic Examination

of 8 systems

• Ayurvedic Srotas

Examination

• Clinical significance of

Lab Tests &

Radiology,USG,2D

Echo


Notes on Medicine Part 1

• Very very useful Book

for all Medical

Practioners

• Guidelines with

causes,symptoms,Ay

urvedic & Modern

Treatments to treat

Fever,Pain in

Abdomen & Arthritis


Best Book for

Medical Students & Practioners

Utility of this PPT

• Final Year BAMS students can make

many time revisions ,if they download this

PPT & save in their Smart Phone

• This is very useful for spotting & oral of

University Examinaion

• Teachers can get helping hand of this PPT

for teaching with LCD projector


Pathology Hand Book

• Very Good Book for

ready reference to

Medical Students &

Practioners

• Costs only Rs.70/-

• For Home Delivery

call Mr.Shantanu on

• 98 22 08 55 06

Concept of Prakruti & Life Style

• How to Diagnose

Prakruti ?

• Detailed advice for

each Prakruti about

Diet, Daily regimen,

Exercise,Occuption

• Menu for

Breakfast,Lunch,Dinn

er

• Chaukhamba

Publication

Scissors

7/10/2015 12 Prof.Dr.R.R.Deshpande

Scissors

• 1) Conjunctiva cutting scissor

• 2) Sclero corneal extension scissor

• 3) Anterior capsulatomy scissor


Conjunctiva Cutting Scissor


Conjunctiva Cutting Scissor

• Stout Scissors with straight or curved

blades

• Uses – For cutting & undermining

Conjunctiva in various operations ,To cut

sutures


Sclero Corneal Extension Scissor

• Curved Scissors .

• Their cutting blades are kept apart by

spring action.

• Uses – Used to enlarge corneal or sclera

corneal incision in Cataract Surgery

,Extend incision in Keratoplasty


Anterior Capsulatomy Scissor

• Delicate & small cutting blades are kept

apart by spring action.

• Uses – For cutting anterior capsule of lens

in Extra capsular surgery ,For performing

Iridectomy


Limbs forcep


Limbs Forcep

• Non Traumatising fine forcep with very fine

teeth.

• Uses – For holding & suturing

cornea,sclera & Iris,For holding corneal

Graft


Anterior capsule holding forcep


Anterior Capsule holding Forcep

• This has a cup on inner side of tip of each

limb .

• Margins of cup are very smooth ,which do

not damage Lens Capsule when applied

• Uses – To hold lens capsule during lens

delivery in Intracapsular Cataract

extraction, To grasp & remove capsular

remnants after surgery


Calliper


Calliper

• It has screw for adjustment .

• Uses – To take measurement during

operations like squint ,retinal detachment

,Ptosis etc .,To measure Corneal Diameter


Needle holder


Needle holder

• Spring action .

• Available in various sizes as 5,6,8,9,10,11

with straight or curved tips .

• Uses – Used for getting sutures in

Conjunctiva ,Cornea ,Sclera & Extra

ocular muscles .This is with or without

Locking device


Needle holder


Mosquito artery forcep(Straight)


Mosquito Artery Forcep

• Curved stout forceps with catch near

ringed end.

• As small in size ,called as Mosquito Artery

Forcep .

• Uses – To catch bleeding vessels ,To hold

gauze pieces while packing after operation


Curved Mosquito artery forcep


Straight Artery Forcep

• This is same as Mosquito Artery Forcep

• .Difference is only that this instrument has

straight blade


Straight Scissor


Sraight Scissor

• Fine pointed scissor with straight sharp

cutting blades .

• Uses – To cut Conjunctival sutures

.Eyelashes should be cut before surgery


Vectis ( Wire)


Vectis ( Wire Vectis)

• This is wire loop attached to metallic

handle.

• Uses – To remove Nucleus in ECCE(Extra

capsular cataract extraction)

• To remove sub luxated lens


Anterior capsule pilling forcep


Anterior Capsule pilling Forceps

• It is used to hold Anterior Capsule of

Mature Cataract


Superior rectus muscle holding

forcep


Superior Rectus muscle holding Forcep

• Toothed forcep with S shaped curve near

the tip .

• Uses – To hold superior Rectus Muscle

while passing a bridle suture under it


Cornea holding forcep


Cornea holding Forcep

• Toothed forcep .

• Use – To hold cornea or Sclera or

Conjunctiva during surgery


Ball point cautery


Ball Point Cautery

• It has rounded projection at tip .

• Use – To coagulate small bleeding points

during any surgery of eye


Iris repositor


Iris Repositor

• It has delicate ,flat, straight or bent blade

with blunt edges & tip attached to a handle

• Uses – To reposed Iris in anterior

chamber during Iris prolapse


Self retaining universal eye

speculum


Eye Speculum

• Universal Eye Speculum –

• Used for both eyes ,right & Left .

• It has 2 limbs & spring mechanism


Universal eye speculum with screw


Wire Eye Speculum

• Uses – Eye Speculums are used to keep

lids apart during any Intraocular surgery

,Enucleation & Evisceration surgery

• During examination of eye in patient with

Blepharospasm


Plain suture tying forcep


Plain Forcep

• Simple forcep without tooth .

• Uses – To hold Conjunctiva during any

eye surgery ,To tie sutures


Lence holding forcep


Lens holding forcep

• Fine forcep with bent limbs .

• Uses –

• To hold haptic of IOL(Intra ocular lens)

during it’s placement

• Used for suture tying


Punctum dilator


Punctum Dilator

• It has cylindrical corrugated metal handle

with a conical pointed tip .

• Uses –

• To dilate Punctum & Canaliculus during

sac syringing in Dacryocystitis


Cresent knife


Crescent Knife

• Blunt tipped ,having cut splitting action at

tip & both sides.

• Uses –

• To make Tunnel incision on Sclera &

Cornea


Keratome


Keratomes

• It has thin diamond shaped blade with

sharp apex & two cutting edges.

• Uses –

• Used to make Valvular Corneal incision to

enter into A.C(Anterior chamber) during

Cataract surgery


Enucliation scissor


Enucleation Scissor

• It has curved blades.

• Uses –

• Used in Enucleation in Pan ophthalmitis.


Entropion clamp


Entropion Clamp

• It has D shaped plate opposed by U

shaped rim with screw.

• Uses –

• Used in Lid surgeries like Entropion,

Ectropion corrections


Chalazion clamp


Chalazion Clamp

• It is consist of two limbs like Forceps,

which can be clamped with the help of

screw.

• Uses –

• To fix Chalazion & achieve Homeostasis

during Incision & Curetting


Caulibri forcep


Calibri Forcep

• Forcep with very fine teeth at tip.

• Uses –

• Used to hold corneal or Scleral edge for

suturing in Cataract, Glaucoma,

Keratoplasty surgeries


Anterior capsule pilling with tooth


Ant Capsule Pilling Forcep with Tooth

• Uses –

• It is used to hold Anterior Capsule of

Mature Cataract


Vangraefe’s cataract knife --1


Von Graefe’s Knife

• It is long, narrow,thin,straight blade with

sharp tip & cutting edge on one side .

• Uses –

• Used for taking incision on Sclero -

corneal Junction from 3 ‘ 0 Clock to 9’o

Clock


Vangraefe’s cataract knife --2


Eye shield


Eye Shield

• Use ---

• After eye surgery ,it is given for protection

of eye


Lacrimal sac dissector with scoop


Lacrimal sac dissector

with scoop • Uses –

• Dissection & cleaning ,during Lacrimal sac

cleaning

• For blunt dissections & cleaning during

operations like Dacryo cysto rhinostomy


Lid retractor


Lid retractor

• Uses –

• To Retract the lid ,

• during Examination of eye ball (in cases of

Blepharospasm in children ),

• Ecchymosis.

• Removal of corneo scleral sutures

• Removal of corneal foreign body


Prof.Dr.Deshpande’s

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959

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Prof.Dr.R.R.Deshpande

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Ophthalmology instruments By Prof.Dr.R.R.Deshpande

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Transcript of Ophthalmology instruments By Prof.Dr.R.R.Deshpande