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首页> 外国专利> METHOD OF COMBINED SURGICAL TREATMENT OF SECONDARY GLAUCOMA IN POSTTRAUMATIC ANIRIDIA

METHOD OF COMBINED SURGICAL TREATMENT OF SECONDARY GLAUCOMA IN POSTTRAUMATIC ANIRIDIA

机译：创伤后肛肠继发青光眼的联合手术治疗方法

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FIELD: medicine.;SUBSTANCE: invention can be used for treating secondary glaucoma in posttraumatic aniridia after optical-reconstructive surgeries with an iris-lenticular diaphragm. Performtransscleral cyclophotocoagulation contact transscleral with using a diode laser in continuous mode at wave length 810 nm and exposure time 3.0 sec. If the ciliary body thickness less than 0.54 mm, 6 laser applicates are applied at circle arc 90° in lower section of an eyeball in 1-2 mm from limb, with power of 1.2 W and pulse energy of 3.6 J. If ciliary body thickness is more than 0.54 mm, then applied 8 laser applicates are applied through a circular arc of 120° in lower section of an eyeball in 1-2 mm from limb, with power of 1.6 W and pulse energy of 5.4 J. Formed on 12 o'clock of conjunctival and scleral flaps with uncovering a strip of ciliary body in distal direction from limb. Under the scleral flap in cornea in sclera with needle 26 G formed inlet into anterior chamber in parallel to iris. In the anterior Chamber is 0.2-0.3 ml of 1 % sodium hyaluronate, needle is removed, in formed opening with help of injector micro shunt Ex-PRESS Model p-50 is implanted. Under scleral flap collagen drainage of triangular base is laid distally to micro shunt, in 2 mm from limb drainage top is under sclera in suprachorioidal space and after reduction of scleral flap together with collagen drain tube is fixed with one interrupted suture by centre. On each side of scleral flap in proximal collagen drain tube is interrupted by one sclero-scleral suture, operation is completed by applying of conjunctival suture.;EFFECT: method enables preserving visual functions by recovering the intraocular fluid outflow tract and achieving reliable hypotensive effect.;1 cl, 2 dwg, 2 ex
机译：领域：药物：本发明可用于治疗虹膜双凸状膜片光重建手术后创伤后无虹膜的继发性青光眼。使用二极管激光器以连续模式在波长810 nm的波长和3.0秒的曝光时间下进行经巩膜环光凝接触经巩膜。如果睫状体厚度小于0.54 mm，则在距肢体1-2 mm的眼球下部以90°的圆弧方向施加6个激光，施加的功率为1.2 W，脉冲能量为3.6J。大于0.54毫米，然后在距肢体1-2毫米的眼球下部通过120°的圆弧施加8束激光，功率为1.6 W，脉冲能量为5.4 J.形成于12 o结膜和巩膜瓣的时钟从四肢的远端方向露出一条睫状体。在巩膜的角膜巩膜瓣下，用针头26 G形成平行于虹膜的前房入口。在前房中注入0.2-0.3 ml的1％透明质酸钠，取下针头，并借助注射器微量分流器将Ex-PRESS Model p-50植入已形成的开口中。在巩膜瓣下，将三角形基底的胶原蛋白引流放置在微分流的远端，距肢体引流顶部2 mm，位于蛛网膜上腔的巩膜下，并在巩膜瓣复位后与胶原蛋白引流管一起用一条间断的缝合线固定。在近端胶原蛋白引流管的巩膜瓣的每一侧被一个巩膜-缝线缝线打断，通过结膜缝线术完成手术。效果：该方法可通过恢复眼内液流出道并保持可靠的降压作用来保持视觉功能。 ; 1 cl，2 dwg，2 ex

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