FEDERALNOE GOSUDARSTVENNOE BJUDZHETNOE UCHREZHDENIE "MEZHOTRASLEVOJ NAUCHNO-TEKHNICHESKIJ KOMPLEKS "MIKROKHIRURGIJA GLAZA" IMENI AKADEMIKA S.N. FEDOROVA" MINISTERSTVA ZDRAVOOKHRANENIJA ROSSIJSKOJ FEDE
发明人:
BELYJ JURIJ ALEKSANDROVICH,Белый Юрий Александрович,TERESHCHENKO ALEKSANDR VLADIMIROVICH,Терещенко Александр Владимирович,SHKVORCHENKO DMITRIJ OLEGOVICH,Шкворченко Дмитрий Олегович
申请号：
RU2015106891/14
公开号：
RU0002583605C1
申请日:
2015.03.02
申请国别(地区):
RU
年份:
2016
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely, to ophthalmology, and can be used for surgical treatment of traumatic macular rupture. After vitrectomy and removal of posterior hyaloid membrane (PHM), at a distance of 2.0-2.5 mm to an inferior temporal arcade, the edge of the internal limiting membrane (ILM) is separated, then, capturing with the help of pincers the ILM edge, the membrane is separated throughout 2-3 hour meridians by making amotion directed along the arc of an imaginary circle with the macular rupture in the centre at that, it is necessary to ensure that the part of amphiblestrodes at a distance of 1.0-1.2 mm from the rupture edge is intact during the next stage ILM separated along the arc is recaptured at the end point and by a movement along a circle radius ILM is separated not reaching the rupture edge by 0.5-0.8 mm, then another recapturing is performed at the end point and ILM is separated throughout 2-3 hour meridians in the opposite direction at that, it is necessary to see to it, that amphiblestrodes section at distance of 0.5-0.8 mm from the rupture edge is intact separation of the given ILM part is completed by a movement directed radially in order to get to the initial point in the above described manner one gradually performs peeling of ILM parts, while around the macular rupture there is formed a ILM foveolar fragment, surrounded by amphiblestrodes zone without ILM in the form of an open ring the last ILM part is removed so as to avoid closing of the ring at a distance equal to 2.5-3.0 diameters of the macular rupture, thus leaving an ILM flap in the zone of ILM peeling the remaining ILM flap is separated in the direction from the outer border to the centre stopping at a distance of 0.5-0.8 mm from the rupture edge then the flap is turned over and placed on the macular rupture thus closing it, the flap is slightly squeezed from top by a vitrotom and the vitreal cavity is filled with silicone oil this silicone oil is re
