СПОСОБ ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ ПАЦИЕНТОВ С СОЧЕТАННОЙ ПАТОЛОГИЕЙ ПЕРЕДНЕГО ОТРЕЗКА ГЛАЗНОГО ЯБЛОКА: АНИРИДИЕЙ, ПОМУТНЕНИЕМ РОГОВИЦЫ РАЗЛИЧНОЙ СТЕПЕНИ ВЫРАЖЕННОСТИ, ПАТОЛОГИЕЙ ХРУСТАЛИКА И ЕГО СВЯЗОЧНОГО АППАРАТА
Federalnoe gosudarstvennoe byudzhetnoe uchrezhdenie "Mezhotraslevoj nauchno-tekhnicheskij kompleks "Mikrokhirurgiya glaza" imeni akademika S.N. Fedorova" Ministerstva zdravookhraneniya Rossijskoj Fede
发明人:
Sobolev Nikolaj Petrovich,Соболев Николай Петрович,Izmajlova Svetlana Borisovna,Измайлова Светлана Борисовна,Gromova Elena Gennadevna,Громова Елена Геннадьевна
申请号：
RU2015135204/14
公开号：
RU0002600149C1
申请日:
2015.08.20
申请国别(地区):
RU
年份:
2016
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention relates to medicine, specifically to ophthalmology, and can be used for surgical treatment of congenital and traumatic aniridia, combined with decreased corneal clouding of various degree of manifestation and cataract. Femtosecond laser is used to make a blind circular incision on recipients cornea with diameter of 7-9 mm concentrically to limb at a depth of 2/3 thickness and an affected cornea at given depth, then surface layers are removed to transparent layers, leaving deep corneal disk, especially in optical zone, creating a surgical bed. Cataract phacoemulsification is performed, then through incision of cornea on circular arc of 80-90 degrees, while continuing through incision. Through prepared incision iridolenticular diaphragm is implanted on surface of anterior capsule with support in area of ciliary furrow without application of fixing sutures. From anterior chamber viscoelastic is washed out. Along circumference is excised remaining part of deep corneal disk of recipient, donor cornea is removed from medium for preservation and placed on Barron vacuum trepan with endothelium upwards. Through trepanation of donor cornea is made, a transplant of required diameter is cut out. Obtained graft is laid with endothelium down in prepared operational bed on cornea of recipient, donor cornea is fixed in four meridians with interrupted sutures, then a continuous blanket suture, after that, fixing interrupted sutures are removed, operation is finished by introducing under conjunctiva dexason solution and an antibiotic.EFFECT: method enables to reduce number of possible postoperative complications, such as loss of endothelial cell density in early postoperative period, prevent turbidity of corneal graft, as well as higher visual acuity and improves aesthetic effect.1 cl, 1 exИзобретение относится к медицине, а именно к офтальмологии, и может быть использовано для хирургического лечения врожденной и травматической аниридии, сочетанно
