METHOD OF MICROINVASIVE PHACOEMULSIFICATION OF CATARACT COMPLICATED BY INTRA-SURGICAL INFLOW OF IRRIGATION SOLUTION WITH FRAGMENTS OF EYE LENS MASSES INTO BERGER SPACE
Ulyanov Aleksej Nikolaevich (RU),Ульянов Алексей Николаевич (RU),Rebrikov Igor Sergeevich (RU),Ребриков Игорь Сергеевич (RU)
申请号：
RU2019109230
公开号：
RU0002708033C1
申请日:
2019.03.29
申请国别(地区):
RU
年份:
2019
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to ophthalmosurgery. After performing phacoemulsification and detecting in Berger space an irrigation solution with fragments of lens mass, the capsular sac is filled with a cohesive viscoelastic to straighten it. That is followed by microcapsulorhexis in the posterior capsule, linear capsulotomy 1.5–2.0 mm long is made in the center of the posterior capsule using 30G needle. Thereafter, by means of collet tweezers gripping edge is gripped and led along arc in direction of opposite rupture edge for 60°. Movement is then stopped and a new grip is performed with forceps at the point of the opposite edge of the rupture, and is driven along arc through 180° to the place of onset of capsulorhexis formation. Then, the edge of the flap formed at 60°, and bring it to the rupture edge, thus obtaining a microhole in the back capsule. That is followed by aspiration of liquid with lens mass from Berger space through a microhole using a Simco model cannula of diameter 0.6 mm, wherein the cannula is connected to the insulin syringe, and completing the aspiration, restoring the volume of the capsular sac by means of a viscoelastic and implanted in the capsule bag of the IOL.EFFECT: method enables reducing the probability of breaking the fibers of the tendon of Zinn or Wieger's ligament during implantation of the IOL, as well as damaging the anterior hyaloid, reducing the risk of chronic postoperative inflammation.1 cl, 2 exИзобретение относится к медицине, а именно к офтальмохирургии. После выполнения факоэмульсификации и обнаружения в пространстве Бергера ирригационного раствора с фрагментами хрусталиковых масс, капсульный мешок заполняют когезивным вискоэластиком, расправляя его. Затем в задней капсуле выполняют микрокапсулорексис, для этого с помощью иглы 30G в центре задней капсулы выполняют линейную капсулотомию длинной 1,5-2,0 мм. После этого с помощью цангового пинцета захватывают край разрыва и ведут его по ду
