CN110302005A - A kind of posterior scleral quantifies pressurizing block and its application method - Google Patents
A kind of posterior scleral quantifies pressurizing block and its application method Download PDFInfo
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- CN110302005A CN110302005A CN201910641674.2A CN201910641674A CN110302005A CN 110302005 A CN110302005 A CN 110302005A CN 201910641674 A CN201910641674 A CN 201910641674A CN 110302005 A CN110302005 A CN 110302005A
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- 238000000034 method Methods 0.000 title claims abstract description 13
- 239000007943 implant Substances 0.000 claims abstract description 68
- 238000002513 implantation Methods 0.000 claims abstract description 48
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 27
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 claims abstract description 10
- 239000011780 sodium chloride Substances 0.000 claims abstract description 10
- 239000007924 injection Substances 0.000 claims description 15
- 238000002347 injection Methods 0.000 claims description 15
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims description 5
- 239000000741 silica gel Substances 0.000 claims description 5
- 229910002027 silica gel Inorganic materials 0.000 claims description 5
- 229960001866 silicon dioxide Drugs 0.000 claims description 5
- 239000000284 extract Substances 0.000 claims description 4
- 238000003780 insertion Methods 0.000 claims description 3
- 230000037431 insertion Effects 0.000 claims description 3
- 230000003287 optical effect Effects 0.000 claims description 3
- 238000001356 surgical procedure Methods 0.000 abstract description 6
- 238000005516 engineering process Methods 0.000 abstract description 3
- 230000002262 irrigation Effects 0.000 abstract 1
- 238000003973 irrigation Methods 0.000 abstract 1
- 210000001525 retina Anatomy 0.000 description 7
- 210000005252 bulbus oculi Anatomy 0.000 description 5
- 230000004402 high myopia Effects 0.000 description 5
- 210000002189 macula lutea Anatomy 0.000 description 5
- 239000000463 material Substances 0.000 description 5
- 239000002504 physiological saline solution Substances 0.000 description 5
- 210000001508 eye Anatomy 0.000 description 4
- 210000003786 sclera Anatomy 0.000 description 4
- 206010025421 Macule Diseases 0.000 description 3
- 208000035719 Maculopathy Diseases 0.000 description 3
- 230000006870 function Effects 0.000 description 3
- 239000011521 glass Substances 0.000 description 3
- 208000002780 macular degeneration Diseases 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 230000009467 reduction Effects 0.000 description 3
- 206010041951 Staphyloma Diseases 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 238000002224 dissection Methods 0.000 description 2
- 238000000605 extraction Methods 0.000 description 2
- 201000001670 scleral staphyloma Diseases 0.000 description 2
- 239000000243 solution Substances 0.000 description 2
- 230000001954 sterilising effect Effects 0.000 description 2
- 208000003164 Diplopia Diseases 0.000 description 1
- 206010061213 Iatrogenic injury Diseases 0.000 description 1
- 208000031471 Macular fibrosis Diseases 0.000 description 1
- 206010063341 Metamorphopsia Diseases 0.000 description 1
- 208000004350 Strabismus Diseases 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 201000009310 astigmatism Diseases 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 238000007689 inspection Methods 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 230000002427 irreversible effect Effects 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 239000012528 membrane Substances 0.000 description 1
- 230000004379 myopia Effects 0.000 description 1
- 208000001491 myopia Diseases 0.000 description 1
- 238000012014 optical coherence tomography Methods 0.000 description 1
- 239000013307 optical fiber Substances 0.000 description 1
- 231100000915 pathological change Toxicity 0.000 description 1
- 230000036285 pathological change Effects 0.000 description 1
- 230000001575 pathological effect Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000035755 proliferation Effects 0.000 description 1
- 238000012797 qualification Methods 0.000 description 1
- 230000002787 reinforcement Effects 0.000 description 1
- 230000002207 retinal effect Effects 0.000 description 1
- 230000004243 retinal function Effects 0.000 description 1
- 201000007714 retinoschisis Diseases 0.000 description 1
- 150000003839 salts Chemical class 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 208000029257 vision disease Diseases 0.000 description 1
- 230000004382 visual function Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
Landscapes
- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Heart & Thoracic Surgery (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
The embodiment of the invention discloses a kind of posterior sclerals to quantify pressurizing block and its application method, belong to ocular surgery appliance technology, it includes implantation ontology that wherein posterior scleral, which quantifies the drip irrigation device of pressurizing block, implant handle, implant handle one end is connect with implantation ontology, the implantation ontology is flexible hollow structure, water pipe is provided in the implant handle, the water pipe is arranged along implant handle length direction and one end is connected to implantation ontology, the other end extends to implant handle away from implant one end, sterile saline can be injected in art by pipeline by, which having the advantages that, carries out quantitative press.
Description
Technical field
The present embodiments relate to ocular surgery appliance technologies, and in particular to a kind of posterior scleral quantifies pressurizing block
And its application method.
Background technique
As the obvious of China's high myopia illness rate increases in recent years, epidemiological study prompts high myopia high
Up to 29,000,000 to 30,400,000, eyeground pathological changes caused by high myopia have become irreversible blind one of important diseases.Wherein, height
Traction property maculopathy caused by myopia mainly includes central fovea of macula retinoschisis, central fovea of macula detachment of retina and Huang
Spot ceasma three types are one group of blinding diseases for seriously affecting patient's visual function.
Clinically there are several mainstreams to select the treatment method of traction property maculopathy at present, including macula lutea external pressurized art
(macularbuckle), vitrectomy (parsplana vitrectomy, PPV) and glass cut joint macula lutea external pressurized
Art, the purpose of operation and the crucial traction for being releasing various factors to retina, restore macular area normal anatomical structures and life
Manage function.Macula lutea external pressurized art helps to alleviate traction (front-rear direction) of the posterior scleral staphyloma to outer retina, shortens view
Nethike embrane resets required distance, while avoiding intraocular surgery may be to the damage of retinal function.Vitrectomy is mainly
Pars plana vitrectomy combines internal limiting membrane Excision, removes tissue (the tangent line side for having tractive force to macula area
To), while the skeleton structure of cell pathologic proliferation is removed, reduce a possibility that premacular membranes recur.There is researcher to think glass
The operation of glass body, which can make high myopia traction property maculopathy obtain anatomical reduction and function, to be improved.In addition also it has been reported that right
The analytical proof macula lutea Posterior scleral reinforcement of great amount of samples can make patient have higher Retinal attaching ratio.
Since high myopia eyeball tends to occur change in dissection, axis oculi growth, eyeball shape are shown as not
Rule and posterior scleral staphyloma, according to 3D-MRI eyeball phantom as a result, it has been found that its configuration can substantially separating-ball-type, tapered, bowl
Type and column type this 4 kinds of main Types.It cannot be complete however, padding external pressurized implantation material used in pressure art outside current conventional macula lutea
Identical eyeball shape entirely, which increase surgical procedure difficulty, therefore iatrogenic injury retina, sclera and eye are easy to appear in art
The complication such as outer flesh, it is postoperative exposure infection to occur because the fitting of external pressurized implantation material is bad, strabismus, metamorphopsia, dissipate
The symptoms such as light.All sclera external pressure implants cannot achieve quantitative press at present.
Summary of the invention
For this purpose, the embodiment of the present invention, which provides a kind of posterior scleral, quantifies pressurizing block and its application method, to solve the prior art
In the problem of all sclera externals pressure implants cannot achieve quantitative press at present.
To achieve the goals above, the embodiment of the present invention provides the following technical solutions:
A kind of posterior scleral quantifies pressurizing block, including implantation ontology, implant handle, implant handle one end and implantation ontology
Connection, the implantation ontology are flexible hollow structure, water pipe are provided in the implant handle, the water pipe is along plant
Enter the setting of body handle length direction and one end is connected to implantation ontology, the other end extends to implant handle away from implant one end.
Further, guide-lighting silk is additionally provided in the implant handle, the leaded light silk is arranged along implant handle, guide-lighting silk
In one end insertion implantation ontology, the other end is stretched out from implant handle away from implantation ontology one end.
Further, the water pipe is the duct opened up on implant handle.
Further, the implant handle is provided with patch away from implantation ontology one end, a side of the patch with
The implant handle is fixedly connected.
Further, the implantation ontology and implant handle are all made of medical silica-gel.
The present invention implements to additionally provide the application method that a kind of posterior scleral quantifies pressurizing block, comprising the following steps:
Guide-lighting silk is connected light source by step 1；
Posterior scleral is quantified pressurizing block and is accurately implanted into the position to outside scleral staphloma by step 2；
Step 3, optical fault relevant check carries out staphyloma to water pipe saline injection under direct-view in art
Quantitative press；
Step 4 extracts guide-lighting silk out；
Step 5, the fixed implantation ontology of suture and implant handle, suture conjunctival sac.
Further, described logical by the way that syringe needle to be inserted into water pipe saline injection described in step 3
Injection realization is carried out in waterpipe.
Further, step 5 further includes being located at implant handle two side portions on patch to carry out suture.
The embodiment of the present invention has the advantages that
By being implanted into water pipe in implant handle, sterile saline is injected by pipeline in art, while can be
Quantitative press is carried out in art under optical coherence tomography inspection direct-view, makes retina while restoring to be bonded in dissection in maximum
The deformation that eyeball posterior scleral is reduced in degree, is reduced because of astigmatism, diplopia complication caused by press excessively, and is reduced because pushing up
The situation that pressure degree deficiency makes therapeutic effect bad.
Detailed description of the invention
It, below will be to embodiment party in order to illustrate more clearly of embodiments of the present invention or technical solution in the prior art
Formula or attached drawing needed to be used in the description of the prior art are briefly described.It should be evident that the accompanying drawings in the following description is only
It is merely exemplary, it for those of ordinary skill in the art, without creative efforts, can also basis
The attached drawing of offer, which is extended, obtains other implementation attached drawings.
Structure depicted in this specification, ratio, size etc., only to cooperate the revealed content of specification, for
Those skilled in the art understands and reads, and is not intended to limit the invention enforceable qualifications, therefore does not have technical
Essential meaning, the modification of any structure, the change of proportionate relationship or the adjustment of size are not influencing the function of the invention that can be generated
Under effect and the purpose that can reach, should all still it fall in the range of disclosed technology contents can cover.
Fig. 1 is that a kind of posterior scleral that the embodiment of the present invention 1 provides quantifies pressurizing block overall structure diagram；
In figure: 1, being implanted into ontology；2, implant handle；3, water pipe；4, guide-lighting silk；5, patch.
Specific embodiment
Embodiments of the present invention are illustrated by particular specific embodiment below, those skilled in the art can be by this explanation
Content disclosed by book is understood other advantages and efficacy of the present invention easily, it is clear that described embodiment is the present invention one
Section Example, instead of all the embodiments.Based on the embodiments of the present invention, those of ordinary skill in the art are not doing
Every other embodiment obtained under the premise of creative work out, shall fall within the protection scope of the present invention.
Embodiment one
A kind of posterior scleral quantifies pressurizing block, as shown in Figure 1, including implantation ontology 1, implant handle 2, wherein implantation ontology 1
Sclera external pressure is carried out for being implanted into human body eye, implantation ontology 1 uses flexible material, and using flexible silica gel, has elasticity
Deformability, inner hollow, 2 one end of implant handle are fixedly connected with implantation ontology 1, are provided with water service pipe in implant handle 2
Road 3, water pipe 3 are arranged along implant handle 2, and one end is connected to implantation 1 cavity of ontology, and the other end extends to implant handle 2
Away from implantation 1 one end of ontology, and water pipe 3 is closed at one end away from implantation ontology 1, and water pipe 3 can be used for injecting sterilizing life
Salt water is managed, injection is carried out after syringe needle is inserted into water pipe 3 can be such that sterile saline flows into implantation ontology 1,
The physiological saline of injection is supported implantation ontology 1, to adjust the volume of implantation ontology 1, realizes the purpose quantitatively pressed,
The implantation ontology 1 propped up after the physiological saline of injection makes to extract syringe needle when retina anatomical reduction, at this point, due to
Implant handle 2 enables the pin hole on implant handle 2 to be closed automatically using silica gel material, avoids the leak of pin hole position.
Guide-lighting silk 4 is additionally provided in implant handle 2, guide-lighting silk 4 is arranged along implant handle 2, guide-lighting 4 one end of silk insertion implantation
In ontology 1, the other end is stretched out from implant handle 2 away from implantation 1 one end of ontology, and optical fibers, guide-lighting silk 4 can be used in guide-lighting silk 4
Light source can be connected positioned at 2 outside one end of implant handle, and light is imported in implantation ontology 1, consequently facilitating it is fixed to place posterior scleral
Implantation ontology 1 is accurately positioned when measuring pressurizing block.It is non-interference between guide-lighting silk 4 and water pipe 3, it not will cause sterilizing
Physiological saline leakage.Guide-lighting silk 4 can be extracted out directly from implant handle 2 after implantation, and guide-lighting silk 4 is avoided to influence posterior scleral
The normal use of quantitative pressurizing block.In the prior art, part ophthalmologic operation is used to be inserted on implant in surgical procedure and be led
Chevilled silk 4 simultaneously carries out knotting fixation in order to carry out implant implantation, and such method is inconvenient for operation, is also not easy to after the completion of implantation
Guide-lighting silk 4 is extracted out, is easy to damage human body eye, and posterior scleral provided by the present invention quantifies pressurizing block, guide-lighting silk 4
It is pre-installed in implant handle 2, does not need in-site installation when in use, can take and use, easy to operate and safety is preferable.
Water pipe 3 is the duct that opens up on implant handle 2, does not need separately to install other pipelines, production it is more convenient and
Cost is lower.
Implant handle 2 away from implantation 1 one end of ontology be provided with patch 5, the patch 5 be rectangular sheet, one of patch 5
Side is fixedly connected with implant handle 2, which can facilitate the suture of implant handle 2 to fix, and suture by patch 5 solid
It can avoid implant handle 2 after fixed and situations such as shaking, torsion occur.
It needs to perform the operation in implantation human eye since posterior scleral quantifies pressurizing block, it is preferential that posterior scleral quantifies pressurizing block
Use medical silica-gel, thus improve operation wholesomeness and posterior scleral quantify pressurizing block in use using safe
Property.
Embodiment two
Present embodiment discloses the application methods that posterior scleral in a kind of embodiment one quantifies pressurizing block, comprising the following steps:
Guide-lighting silk 4 is located at the connection of the part outside implant handle 2 light source by step 1, to illuminate implantation ontology 1；
Posterior scleral is quantified pressurizing block and is implanted into the position to outside scleral staphloma by step 2；
Step 3, optical fault is concerned with and checks under direct-view to 3 saline injection saline injection of water pipe in art
Quantitative press is carried out to staphyloma, the amount by adjusting the physiological saline injected in water pipe 3 is adjustable to prop up implantation ontology 1
Height, when be implanted into ontology 1 prop up height reach retina anatomical reduction when stop injection；
Step 4 extracts guide-lighting silk 4 out, can clamp fixed implant handle 2 in extraction process by surgical clamp, and by another
A surgical clamp extracts guide-lighting silk 4 out；
Step 5, the fixed implantation ontology 1 of suture and implant handle 2, avoid implantation ontology 1 and implant handle 2 from shaking.
Preferably, in step 3 to 3 saline injection of water pipe by will syringe needle be inserted into water pipe 3 in
Injection realization is carried out, syringe materials are convenient, and convenient for controlling injection rate, what the syringe needle of syringe was formed on implant handle 2
Pin hole is smaller, and the pin hole after extraction syringe needle on implant handle 2 can be closed automatically, can be avoided physiological saline and leaks, nothing
Plugging operations need to be being carried out, using more convenient in surgical procedure, operation duration can be effectively shortened.
More preferably, step 5 further includes being located at 2 two sides position of implant handle setting suture hole on patch 5 and carrying out suture,
The fixation of implant handle 2 can be made more stable by carrying out suture on patch 5, can effectively avoid implant handle 2 and implantation
Ontology 1 shakes, meanwhile, have the advantages that shorten operating time in such a way that setting suture hole carries out suture.
Although above having used general explanation and specific embodiment, the present invention is described in detail, at this
On the basis of invention, it can be made some modifications or improvements, this will be apparent to those skilled in the art.Therefore,
These modifications or improvements without departing from theon the basis of the spirit of the present invention are fallen within the scope of the claimed invention.
Claims (8)
1. a kind of posterior scleral quantifies pressurizing block, which is characterized in that including being implanted into ontology (1), implant handle (2), the implant
Handle (2) one end is connect with implantation ontology (1), and the implantation ontology (1) is flexible hollow structure, is set in the implant handle (2)
It is equipped with water pipe (3), the water pipe (3) is arranged along implant handle (2) length direction and one end and implantation ontology (1) connect
Logical, the other end extends to implant handle (2) away from implant one end.
2. posterior scleral according to claim 1 quantifies pressurizing block, which is characterized in that also set up in the implant handle (2)
Have guide-lighting silk (4), the leaded light silk (4) is arranged along implant handle (2), in guide-lighting silk (4) one end insertion implantation ontology (1), separately
One end is stretched out from implant handle (2) away from implantation ontology (1) one end.
3. posterior scleral according to claim 2 quantifies pressurizing block, which is characterized in that the water pipe (3) is implant
The duct opened up on handle (2).
4. posterior scleral according to claim 1 quantifies pressurizing block, which is characterized in that the implant handle (2) is away from implantation
Ontology (1) one end is provided with patch (5), and a side of the patch (5) is fixedly connected with the implant handle (2).
5. posterior scleral according to claim 1 quantifies pressurizing block, which is characterized in that the implantation ontology (1) and implant
Handle (2) is all made of medical silica-gel.
6. posterior scleral described in -5 any one claims quantifies the application method of pressurizing block, feature according to claim 1
It is, comprising the following steps:
Guide-lighting silk (4) are connected light source by step 1；
Posterior scleral is quantified pressurizing block and is accurately implanted into the position to outside scleral staphloma by step 2；
Step 3, in art optical fault it is relevant check under direct-view to water pipe (3) saline injection to scleral staphloma into
The quantitative press of row；
Step 4 extracts guide-lighting silk (4) out；
Step 5, fixed implantation ontology (1) of suture and implant handle (2), suture conjunctival sac.
7. the application method that posterior scleral according to claim 6 quantifies pressurizing block, which is characterized in that described in step 3 to
Water pipe (3) saline injection carries out injection realization by the way that syringe needle to be inserted into the water pipe (3).
8. the application method that posterior scleral according to claim 6 quantifies pressurizing block, which is characterized in that step 5 further include
It is located at implant handle (2) two side portions on patch (5) and carries out suture.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910641674.2A CN110302005B (en) | 2019-07-16 | 2019-07-16 | Posterior sclera quantitative pressurizing block and application method thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910641674.2A CN110302005B (en) | 2019-07-16 | 2019-07-16 | Posterior sclera quantitative pressurizing block and application method thereof |
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| Publication Number | Publication Date |
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| CN110302005A true CN110302005A (en) | 2019-10-08 |
| CN110302005B CN110302005B (en) | 2024-06-14 |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112569044A (en) * | 2020-12-10 | 2021-03-30 | 北京大学第三医院（北京大学第三临床医学院） | Posterior scleral staphyloma stent |
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| WO2017033081A2 (en) * | 2015-08-24 | 2017-03-02 | Barbara Parolini | Episcleral surgery kit |
| CN206924144U (en) * | 2016-11-17 | 2018-01-26 | 广州迪克医疗器械有限公司 | The sclera pressue device reinforced for sclera |
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| CN207708080U (en) * | 2017-07-04 | 2018-08-10 | 中国医学科学院北京协和医院 | A kind of novel posterior scleral pressue device |
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| CN210631380U (en) * | 2019-07-16 | 2020-05-29 | 上海交通大学医学院附属第九人民医院 | Quantitative pressurizing block for posterior sclera |
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2019
- 2019-07-16 CN CN201910641674.2A patent/CN110302005B/en active Active
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|---|---|---|---|---|
| WO2017033081A2 (en) * | 2015-08-24 | 2017-03-02 | Barbara Parolini | Episcleral surgery kit |
| CN105125341A (en) * | 2015-09-08 | 2015-12-09 | 中山大学中山眼科中心 | Surgical device for ophthalmic surgery |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112569044A (en) * | 2020-12-10 | 2021-03-30 | 北京大学第三医院（北京大学第三临床医学院） | Posterior scleral staphyloma stent |
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| Publication number | Publication date |
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| CN110302005B (en) | 2024-06-14 |
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