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SURGICAL METHOD OF TREATING PRIMARY GLAUCOMA COMBINED WITH CATARACT

机译:白内障合并青光眼的外科治疗方法。

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, specifically to ophthalmology. For surgical treatment of primary glaucoma, conjunctiva is incised, conjunctiva and tenon coat are separated from sclera, the scleral flap is cut out with a base to the limb, a sinustrabecullectomy with the autoplastic drainage of the anterior chamber, and the flap is closed with nodular sutures. On remaining scleral flap scraping surface of sclera performing longitudinal, parallel incisions, forming four strips, from which the distal strip is cut from the choroid to a ciliary body and placed in a tunnel formed with a spatula in the suprachoriodal space, where an intraocular fluid efflux is created through the uveoscleral path. From the remaining three scleral strips, a median one is partially separated by bringing it into the anterior chamber of the eye, exposing the surface of the ciliary body and creating an additional path for the outflow of intraocular fluid from the anterior chamber.;EFFECT: method enables achieving a stable hypotensive effect, reducing the number of complications by creating an additional intraocular fluid outflow pathway, through suprachoroidal space by sclera autodrainage is low-traumatic, safe, single-stage and does not require application of donor and artificial material.;1 cl, 1 ex
机译:技术领域本发明涉及医学,尤其涉及眼科。对于原发性青光眼的手术治疗,切开结膜,将结膜和腱膜与巩膜分开,将巩膜瓣切开至四肢根部,进行前房自体引流的鼻窦颅脑切除术,并用结节性缝合。在巩膜的剩余巩膜瓣刮擦表面上,进行纵向平行切口,形成四个条,将其从脉络膜切至睫状体,然后将其置于脉络膜上腔内由刮刀形成的隧道中,眼内液外排通过葡萄膜巩膜路径产生。通过将剩余的三个巩膜带放入眼睛的前房,露出睫状体的表面并为眼内液从前腔流出创造一条额外的路径,将其中的一个部分分离。该方法能够实现稳定的降压效果,通过建立额外的眼内液流出途径来减少并发症的发生,巩膜自动引流通过脉络膜上腔是低创伤的,安全的,单阶段的,并且不需要使用供体和人工材料。 1 cl,1 ex

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