Surgical Supplies, Instruments, and Implants for the Operating Room

From Kahook's Essentials Of Glaucoma Therapy
Primary authors
  • Nathan M. Radcliffe, MD
Table A-1. Suture Materials for Glaucoma Surgery
Suture Purpose
10-0 nylon Suture cornea
9-0 or 8-0 nylon Secure tube or plate to sclera
7-0 silk Traction suture
7-0 Vicryl Tube ligation
8-0 or 9-0 Vicryl Conjunctival closure
4-0 or 5-0 nylon Tube occlusion/stenting suture
Table A-2. Blades and Needles for Glaucoma Surgery
Instrument Purpose
15-degree or No. 75 stab blade Paracentesis
22-gauge or 23-gauge needle Create ostomy for tube insertion
26-gauge needle Create ostomy Ex-Press P-50 placement
Beaver blade (No. 57 or 69) Outline scleral flap
Crescent blade Dissect scleral flap
No. 11 BD Bard-Parker blade Venting or “Sherwood” tube slits
1.7-mm keratome Trabectome incision
Table A-3. Instruments for the Glaucoma Surgical Tray
Instrument Purpose
Eyelid speculum Retract eyelids
Kelly-Descemet punch Excise trabeculo-Descemet’s window
Jameson muscle hook Expose and isolate rectus muscle
Cautery with thin “intraocular” tip Hemostasis
Vannas scissors Dissect conjunctiva and Tenon’s capsule
Smooth-tipped conjunctival forceps Retract conjunctiva and Tenon’s capsule
Westcott or mini-Westcott scissors Dissect conjunctiva and Tenon’s capsule
Balanced salt solution on a 30-gauge cannula Reform anterior chamber, pressurize eye
0.12 forceps Manipulate tissue, suture scleral flap
0.3 or 0.5 forceps Place glaucoma drainage device
Needle holder (small) Close conjunctiva
Needle holder (large) Tie 7-0 Vicryl tube ligature