FEDERALNOE GOSUDARSTVENNOE UCHREZHDENIE "MEZHOTRASLEVOJ NAUCHNO-TEKHNICHESKIJ KOMPLEKS "MIKROKHIRURGIJA GLAZA" IMENI AKADEMIKA S.N. FEDOROVA FEDERALNOGO AGENTSTVA PO VYSOKOTEKHNOLOGICHNOJ MEDITSINSKOJ
发明人:
PUZYREVSKIJ KONSTANTIN GENNADEVICH,Пузыревский Константин Геннадьевич,ANTSIFEROVA NATALJA GENNADEVNA,Анциферова Наталья Геннадьевна,PLISOV IGOR LEONIDOVICH,Плисов Игорь Леонидович,BIKBULATOVA DARJA RI
申请号：
RU2011152078/14
公开号：
RU0002475221C1
申请日:
2011.12.21
申请国别(地区):
RU
年份:
2013
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention relates to ophthalmosurgery, and may be used for treating atypical forms of squinting. What is involved is a limb incision of a conjunctiva in a medial quadrant a medial rectus muscle is separated from anterior ciliary arteries and fascia a scleral blade is used to cut out a flap 4-5 mm long of scleral surface layers from an attachment point of an extraocular muscle (EOM) to an equator, without dissection it is followed by a limb incision of the conjunctiva in a lower quadrant the same procedure is used to cut out a flap of a lower rectus muscle 3-4 mm long from an attachment point of the EOM to an equator it is followed by a limb incision of the conjunctiva in a superolateral quadrant a middle long one-third of the lateral rectus muscle is sutures at 10-12 mm from its attachment point, and the latter is transposed upwards at 8-9 mm towards the upper rectus muscle along the equator and displaced by 5-7 mm to the limb and fixed to the sclera the same technique is used to take the middle long one-third of the upper rectus muscle in forceps, sutured at 7-8 mm from its attachment point, , and the latter is transposed horizontally at 4-5 mm towards the external rectus muscle along the equator the lateral rectus and upper rectus muscles are sutured together and displaced at 5-7 mm to the limb and fixed to the sclera.EFFECT: method provides higher surgical effectiveness and stability.5 dwg, 3 exИзобретение относится к офтальмохирургии и может быть использовано при лечении атипичных форм косоглазия. Производят лимбальный разрез конъюнктивы в медиальном квадранте, освобождают медиальную прямую мышцу от передних цилиарных артерий и от фасции, склеральным лезвием из поверхностных слоев склеры выкраивают лоскут длиной 4-5 мм от места прикрепления экстраокулярной мышцы (ЭОМ) по направлению к экватору, без ее отсечения, затем производят лимбальный разрез конъюнктивы в нижнем квадранте, аналогично выкраивают лоскут нижней прямой мышцы длиной 3-
