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Forceps in Ophthalmology

Artery forceps/ haemostatic forceps

Identification
1) Scissor like configuration
2) Blunt tip with multiple straight grooves
3) Stout
4) Locking mechanism at the ring end

Types
1) Large, medium, small (mosquito artery forceps)
2) Straight, curved

Uses
1) To hold bleeding vessels during lid or lacrimal sac surgery
2) To hold skin stay and muscle stay sutures
3) To hold gauze pieces while packing the socket after enucleation or exenteration.

 Small artery forceps are commonly used in Ophthalmology


Dastoor’s Superopr Rectus Holding Forceps

Identification
1) Toothed
2) S-shaped double curve at tip (tip is 7.7mm from fulcrum as insertion of Superior   Rectus is at 7.7mm from limbus)

Uses
To hold of MUSCLE BELLIES (mostly superior rectus) of intraocular muscle while passing bridle suture in   cataract. Glaucoma and cornea surgeries. Also used commonly in Blumenthal technique of manual SICS to catch the inferior rectus


Kelman Mcpherson’s Forceps

Identification
1) Fine
2) Sharp tip
3) Untoothed with angulation

Uses
1) Holding haptic of Intra ocular Lens (IOL) during its placement.
2) Used during suturing.
3) For IOL removal.
4) Remove capsular flaps from the anterior chamber.  


Lim’s Forceps/Corneoscleral Forceps

Identification

1) Very fine
2) Toothed

Uses

To hold corneal, scleral edges for suturing and for support in various eye surgeries


Pierse Hoskin Forceps

Identification
Tip notched

Uses
To hold delicate tissues

Advantage
Less traumatic


Straight Suture Tying Forceps

Identification
1) Fine limb
2) Untoothed
3) No angulation

Uses
1) To hold fine sutures
2) Used for suture tying, other uses similar to Mc Phersons


Utrata’s Forceps

Identification
1) Untoothed           
2) Sharp tip perpendicular to body

Uses
1) To tearing capsule / completing capsulorhexis/ removal of capsular tags (USED THROUGH MAIN PORT)


Microcapsulorhexis Forceps

Identification
1) Fine
2) Sharp tip-act as cystitome
3) Forceps like tip

Uses
Capsulorhexis {USED THROUGH SIDE PORT 26G}


Conjunctival forceps

Identification
Fine non-toothed forcep - less traumatic than toothed forceps
    
Use  
1. For grasping conjunctiva
2. For stabilizing the muscle prior to weaving the vicryl through the muscle belly in squint surgeries.