Ulasevich Oleg Anatolevich,Уласевич Олег Анатольевич,Shalagin Andrej Vitalevich,Шалагин Андрей Витальевич,Rebrikov Igor Sergeevich,Ребриков Игорь Сергеевич
申请号：
RU2015149801
公开号：
RU0002606338C1
申请日:
2015.11.19
申请国别(地区):
RU
年份:
2017
代理人:
摘要：
FIELD: medicine.SUBSTANCE: group of inventions refers to medicine, namely ophthalmic surgery, and can be used in surgical management of idiopathic macular retinal ruptures by blocking rupture with autologous, platelet enriched plasma. Vitrectomy is made, including removal of posterior hyaloid membrane, removal of internal limiting membrane and retina tamponade of vitreous cavity with gas, for this purpose exchange of previously introduced irrigation solution for air is made at first by active aspiration of solution then, remaining layer solution corresponding to 2–3 diameters of macula, is passively aspirated by means of cannula, inside of which there is silicone tube with end sections, forming petals. Defect of macule is blocked by applying of autothrombotic mass on rupture area, in completion air is changed for gas. Wherein active aspiration of solution is performed in two approaches: first, aspirated solution to level of equator, then for 5 minutes no actions are carried out, which means “drying” of vitreous body, then again remaining solution is actively aspirated to level, at which diameter of remaining layer corresponds to 2–3 diameters of macula, then passive aspiration is made, bringing edges of macular rupture, and rupture is blocked with autologous, plasma enriched with platelets, obtained according to developed method.EFFECT: group of inventions enables to close anatomically macular rupture and to restore functional capacity of foveal retina.3 cl, 2 dwg, 1 exГруппа изобретений относится к области медицины, а именно к офтальмохирургии, и может быть использована при хирургическом лечении идиопатических макулярных разрывов сетчатки путем блокирования разрыва аутологичной обогащенной тромбоцитами плазмой. Проводят витрэктомию, включая удаление задней гиалоидной мембраны, удаление внутренней пограничной мембраны сетчатки и тампонаду стекловидной полости газом, для чего выполняют обмен ранее введенного ирригационного раствора на воздух сначала путем активной ас
