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METHOD OF MICROINVASIVE NONPENETRATING DEEP SCLERECTOMY

机译:微创非穿透性深层硬化术的方法

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to ophthalmological surgery, and can be applied in the microinvasive surgical treatment of open angle glaucoma. For this purpose a conjunctival 2 mm long cut is made. A superficial scleral flap with penetration into surface layers of the cornea is cut out. The base of the surface flap constitutes 2 mm, the height is 2 mm. Then a deep 2 mm high scleral flap, with the base of 2 mm near the limb, top of 1 mm, is excised. The said flap is excised together with peripheral layers of the cornea and an external wall of the Schlemm's canal with exposing the zone of the trabecula and the Descemet's membrane. The sclera is completely excised to the ciliary body in 1 mm from the apex of the surface sclera flap bed. After that two-three applicates are applied by means of a button electrode backwards from the scleral spur. The scleral bed is formed by a diode laser with a wavelength of 810 nm, exposure of 5 s and power of 300-400 mW. The scleral bed is filled with the Healaflow implant. The scleral flap is laid with the application of interrupted sutures. The conjunctiva is reinforced by one interrupted suture.;EFFECT: method provides prolonged hypotensive effect in the postoperative period due to the formation of intrascleral and extrascleral paths of the liquid outflow without the formation of sclera-scleral and sclera-conjunctival adhesions in the intrascleral cavity and subconjunctival space.;2 ex
机译:技术领域本发明涉及医学,即眼科手术,可以应用于开角型青光眼的微创手术治疗。为此,制作结膜2 mm长的切口。切出穿透到角膜表面层的浅层巩膜瓣。表面挡板的底部为2毫米,高度为2毫米。然后切下一个深2 mm的深巩膜瓣,底部靠近肢体,底部2 mm,顶部1 mm。将所述瓣与角膜的周边层和施勒姆氏管的外壁一起切除,露出小梁的区域和后弹力膜。巩膜在距表面巩膜瓣床顶点1 mm处完全切除至睫状体。之后,通过纽扣电极从巩膜骨刺向后施涂三遍。巩膜床由波长为810 nm,曝光时间为5 s,功率为300-400 mW的二极管激光器形成。巩膜床充满Healaflow植入物。巩膜瓣通过间断缝合线放置。结膜通过一根间断的缝线加固。效果:该方法在术后期间由于液体流出的巩膜内和巩膜外路径的形成而没有在巩膜腔内形成巩膜巩膜和巩膜结膜粘连,从而提供了延长的降压作用和结膜下空间。; 2 ex

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