instruments in glaucoma

INSTRUMENTS USED IN GLAUCOMA
SURGERY ,CONSUMABLES &
MEDICINES

Prajina Wagle
B.Sc Nurse

GLAUCOMA

• It is the symptomatic condition where the
functional integrity of the eye is disturbed,
resulting in irreversible loss of visual field due
to persistent raised Intra Ocular Pressure
(IOP).

• IOP is exerted by the intraocular fluids on the
coats of the eyeball. The normal IOP is
between 10 to 20 mm Hg.

TREATMENT OF GLAUCOMA

• The main aim of treatment of glaucoma is to
control the IOP.

Treatment of Glaucoma
• Medical treatment
• Surgical treatment

DIFFERENT TYPES OF GLAUCOMA
SURGERY

1. Peripheral Iridectomy
2. Trabeculectomy
3. Glaucoma Drainage Device Operation
4. Cyclo Destructive procedure

INSTRUMENTS USED IN GLAUCOMA
SURGERY

INSTRUMENTS USES

Artery Forceps To clean the surgical part
Wire Eye Speculum To separate both eye lids for good
exposure of the eye .
Plain Forcep
Curved Mosquito Forcep To hold the conjuctiva
Tenotomy Scissor To hold the stay suture
Conjuctival Scissor To cut extra occular muscle.
Colibri To cut the conjuctiva
To hold the eye ball.

INSTRUMENTS USES

One pair of Steven’s Muscle Hook To Engage the muscle during valve placement
Calliper in case of GDD
Hydrocannula To measure the size of valve placement area
Vanus scissor To maintain the anterior chamber
Spring Action Needle Holder To cut the internal sceleral flap
Plain Tying Forcep To pass suture in , conjuctiva & limbal area.
Crescent knife To tie the suture
To make scleral flap

INSTRUMENTS USES

Keratome knife To make the tunnel in anterior chamber
Kidney tray To keep the instrument
Two small bowl/gallipot One for betadine another for RL
Kelley”s Punch To punch out trabecular tissue
Cautery For hemostasis
Iris forcep To hold the iris
Iris spatula For the reposition of iris

CONSUMABLES IN GLAUCOMA

SURGERY

• Surgical Gloves
• 10”0 Nylon Suture
• 8.0” Vicryl Suture
• 6.0” VIcryl Suture
• 5cc Syringe
• 3cc syringe
• Gauge piece
• Eye Pad
• Spirit
• Marker
• Viscoelastic substance
• Sponge
• Eye drape

MEDICINES USED IN GLAUCOMA
SURGERY

• Betadine Solution
• Ringer Lactate
• Inj. Mitomycin if needed
• Inj. Carbachol
• Inj. Dexona

THANK YOU