MD438Z - Method for treating hypermature senile cataract - Google Patents
Method for treating hypermature senile cataract Download PDFInfo
- Publication number
- MD438Z MD438Z MDS20110095A MDS20110095A MD438Z MD 438 Z MD438 Z MD 438Z MD S20110095 A MDS20110095 A MD S20110095A MD S20110095 A MDS20110095 A MD S20110095A MD 438 Z MD438 Z MD 438Z
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- Moldova
- Prior art keywords
- lens
- anterior capsule
- anterior
- hypermature
- conjunctiva
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- 208000002177 Cataract Diseases 0.000 title claims abstract description 14
- 238000000034 method Methods 0.000 title claims abstract description 12
- 201000008525 senile cataract Diseases 0.000 title claims abstract description 12
- 239000002775 capsule Substances 0.000 claims abstract description 19
- 210000000795 conjunctiva Anatomy 0.000 claims abstract description 11
- 210000003205 muscle Anatomy 0.000 claims abstract description 10
- 210000004087 cornea Anatomy 0.000 claims abstract description 9
- 239000003242 anti bacterial agent Substances 0.000 claims abstract description 5
- 230000003115 biocidal effect Effects 0.000 claims abstract description 5
- 238000002690 local anesthesia Methods 0.000 claims abstract description 5
- 238000002694 regional anesthesia Methods 0.000 claims abstract description 5
- 210000002159 anterior chamber Anatomy 0.000 claims abstract description 4
- 239000003246 corticosteroid Substances 0.000 claims description 4
- 210000002966 serum Anatomy 0.000 claims description 3
- 238000005406 washing Methods 0.000 claims description 2
- 239000003814 drug Substances 0.000 abstract description 3
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 abstract 1
- 239000003470 adrenal cortex hormone Substances 0.000 abstract 1
- 239000003795 chemical substances by application Substances 0.000 abstract 1
- 239000011780 sodium chloride Substances 0.000 abstract 1
- 230000002980 postoperative effect Effects 0.000 description 3
- 208000010412 Glaucoma Diseases 0.000 description 2
- 206010046851 Uveitis Diseases 0.000 description 2
- GPUADMRJQVPIAS-QCVDVZFFSA-M cerivastatin sodium Chemical compound [Na+].COCC1=C(C(C)C)N=C(C(C)C)C(\C=C\[C@@H](O)C[C@@H](O)CC([O-])=O)=C1C1=CC=C(F)C=C1 GPUADMRJQVPIAS-QCVDVZFFSA-M 0.000 description 2
- 238000003759 clinical diagnosis Methods 0.000 description 2
- 201000008659 immature cataract Diseases 0.000 description 2
- 206010023365 keratopathy Diseases 0.000 description 2
- GEIYZNFNTVEVJJ-KQYNXXCUSA-N 9-[(2r,3r,4s,5r)-5-(dihydroxyphosphinothioyloxymethyl)-3,4-dihydroxyoxolan-2-yl]-3h-purin-6-one Chemical compound O[C@@H]1[C@H](O)[C@@H](COP(O)(O)=S)O[C@H]1N1C(NC=NC2=O)=C2N=C1 GEIYZNFNTVEVJJ-KQYNXXCUSA-N 0.000 description 1
- 208000032984 Intraoperative Complications Diseases 0.000 description 1
- 208000037273 Pathologic Processes Diseases 0.000 description 1
- 208000035965 Postoperative Complications Diseases 0.000 description 1
- 206010057765 Procedural complication Diseases 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 230000002757 inflammatory effect Effects 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 230000001575 pathological effect Effects 0.000 description 1
- 230000009054 pathological process Effects 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
- 230000001960 triggered effect Effects 0.000 description 1
- 210000004127 vitreous body Anatomy 0.000 description 1
Landscapes
- Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
Abstract
Description
Invenţia se referă la medicină, în special la oftalmologie şi poate fi aplicată pentru tratamentul cataractei senile hipermature. The invention relates to medicine, in particular to ophthalmology and can be applied for the treatment of hypermature senile cataract.
Este cunoscută metoda de tratament al cataractei senile, care constă în aceea că se efectuează anestezia locală şi regională, se fixează muşchiul rect superior, se detaşează conjunctiva de la limb, se incizează conjunctiva la nivelul limbului, care corespunde orelor 10°°-14°°, se incizează corneea la nivelul orelor 10°° până la 14°°, se marchează capsula anterioară, se lărgeşte incizia corneei spre nivelul orelor 10°° şi 14°°, se efectuează capsulorexisul anterior prin extracţia cataractei senile cu aplicarea unui implant de cristalin artificial de camera posterioară, apoi se suturează conjunctiva, se aplică un antibiotic şi un preparat corticosteroid, se eliberează muşchiul rect superior şi se aplică un pansament monocular aseptic [1]. The method of treating senile cataract is known, which consists of performing local and regional anesthesia, fixing the superior rectus muscle, detaching the conjunctiva from the limbus, incising the conjunctiva at the level of the limbus, which corresponds to 10°°-14°°, incising the cornea at the level of 10°° to 14°°, marking the anterior capsule, widening the corneal incision towards the level of 10°° and 14°°, performing anterior capsulorhexis by extracting the senile cataract with the application of an artificial lens implant in the posterior chamber, then suturing the conjunctiva, applying an antibiotic and a corticosteroid preparation, releasing the superior rectus muscle and applying an aseptic monocular dressing [1].
Dezavantajele acestei metode constau în diminuarea tensiunii capsulare la efectuarea capsulorexisului anterior în cadrul cataractei senile hipermature, unde cortexul cristalinian se lichefiază în momentul efectuării capsulorexisului anterior, capsula anterioară se poate rupe spre polul posterior cristalinian, determinând un capsulorexis iregulat şi cu o pierdere de corp vitros, iar în perioada postoperatorie se poate declanşa o descentrare a cristalinului artificial cu glaucom secundar, uveită postoperatorie sau o keratopatie edematobuloasă. The disadvantages of this method consist in the reduction of capsular tension when performing anterior capsulorhexis in hypermature senile cataract, where the lens cortex liquefies at the time of performing anterior capsulorhexis, the anterior capsule can tear towards the posterior lens pole, causing an irregular capsulorhexis and a loss of vitreous body, and in the postoperative period, a decentering of the artificial lens with secondary glaucoma, postoperative uveitis or edematobullous keratopathy can be triggered.
Problema pe care o rezolvă invenţia propusă constă în obţinerea unui capsulorexis anterior circular regulat. The problem solved by the proposed invention consists in obtaining a regular circular anterior capsulorhexis.
Conform invenţiei, metoda de tratament al cataractei senile hipermature constă în aceea că se efectuează anestezia locală şi regională, se fixează muşchiul rect superior, se incizează conjuctiva la nivelul limbului, se incizează corneea, se marchează capsula anterioară, se efectuează o incizie pe capsula anterioară, perpendicular pe limb, ce corespunde orei 18°° cu o lungime de 2…3 mm, se aspiră masele cristaliniene, se introduce un remediu viscoelastic sub capsula anteroară, după care capsula anterioară şi nucleul cristalinului se înlătură, se efectuează lavajul maselor cristaliniene, se implantează cristalinul artificial de camera posterioară, se efectuează două iridotomii ce corespund orelor 11°° şi 13°°, după care se suturează corneea, se reface camera anterioară prin introducere de ser fiziologic steril, se suturează conjunctiva, în spaţiul subconjunctival se introduce un antibiotic şi un remediu corticosteroid şi se eliberează muşchiul rect superior. According to the invention, the method of treating hypermature senile cataract consists in performing local and regional anesthesia, fixing the superior rectus muscle, incising the conjunctiva at the limbus level, incising the cornea, marking the anterior capsule, making an incision on the anterior capsule, perpendicular to the limbus, corresponding to 18°° with a length of 2…3 mm, aspirating the lens masses, introducing a viscoelastic remedy under the anterior capsule, after which the anterior capsule and the lens nucleus are removed, washing the lens masses, implanting the artificial lens in the posterior chamber, performing two iridotomies corresponding to 11°° and 13°°, after which the cornea is sutured, the anterior chamber is restored by introducing sterile physiological serum, suturing the conjunctiva, introducing an antibiotic and a corticosteroid remedy into the subconjunctival space and releasing the superior rectus muscle.
Rezultatul constă în simplificarea intervenţiei microchirurgicale şi profilaxia complicaţiilor intra- şi postoperatorii. The result is the simplification of microsurgical intervention and the prevention of intra- and postoperative complications.
Metoda de tratament al cataractei senile hipermature se realizează în modul următor: se efectuează anestezia locală şi regională, se fixează muşchiul rect superior, se incizează conjuctiva la nivelul limbului, se incizează corneea, se marchează capsula anterioară, se efectuează o incizie pe capsula anterioară, perpendicular pe limb, ce corespunde orei 18°° cu o lungime de 2…3 mm, se aspiră masele cristaliniene, se introduce un remediu viscoelastic sub capsula anteroară, după care capsula anterioară şi nucleul cristalinului se înlătură, se efectuează lavajul maselor cristaliniene, se implantează cristalinul artificial de camera posterioară, se efectuează două iridotomii ce corespund orelor 11°° şi 13°°, după care se suturează corneea, se reface camera anterioară prin introducere de ser fiziologic steril, se suturează conjunctiva, în spaţiul subconjunctival se introduce un antibiotic şi un remediu corticosteroid şi se eliberează muşchiul rect superior. The method of treatment of hypermature senile cataract is performed as follows: local and regional anesthesia is performed, the superior rectus muscle is fixed, the conjunctiva is incised at the limbus level, the cornea is incised, the anterior capsule is marked, an incision is made on the anterior capsule, perpendicular to the limbus, corresponding to 18°° with a length of 2…3 mm, the lens masses are aspirated, a viscoelastic remedy is introduced under the anterior capsule, after which the anterior capsule and the lens nucleus are removed, the lens masses are lavaged, the artificial lens is implanted in the posterior chamber, two iridotomies are performed corresponding to 11°° and 13°°, after which the cornea is sutured, the anterior chamber is restored by introducing sterile physiological serum, the conjunctiva is sutured, an antibiotic and a corticosteroid remedy are introduced into the subconjunctival space and the superior rectus muscle is released.
Metoda revendicată are unele avantaje: este simplă în realizare şi prin introducerea remediului viscoelastic sub capsula cristaliniană anterioară se evită diminuarea tensiunii sacului, ce permite efectuarea unui capsulorexis anterior circular cu evitarea unor complicaţii, ca glaucomul secundar, uveita postoperatorie şi keratopatia edematobuloasă. The claimed method has some advantages: it is simple to perform and by introducing the viscoelastic remedy under the anterior lens capsule, the reduction of the bag tension is avoided, which allows performing an anterior circular capsulorhexis while avoiding complications such as secondary glaucoma, postoperative uveitis and edematobullous keratopathy.
Exemplul 1 Example 1
Pacienta X., în vârstă de 77 de ani. Diagnosticul clinic: OD - cataractă senilă hipermatură, OS - cataractă senilă incipientă. Patient X., 77 years old. Clinical diagnosis: OD - hypermature senile cataract, OS - incipient senile cataract.
Visus OD = l/u prL certa Visus OD = l/u prL certa
OS = 0,4 nu corijează (internare) OS = 0.4 does not correct (hospitalization)
S-a efectuat intervenţia conform metodei revendicate la OD, după care The intervention was carried out according to the method claimed at the OD, after which
visus OD = 0,4 nu corijează visus OD = 0.4 does not correct
OS = 0,4 nu corijează (externare). OS = 0.4 does not correct (externalization).
La un an de la intervenţie la OD la biomicroscopie semne de descentrare a cristalinului artificial şi procese inflamatorii sau procese patologice corneene nu s-au depistat. One year after the intervention at OD, biomicroscopy showed no signs of decentration of the artificial lens and no inflammatory or pathological corneal processes.
Exemplul 2 Example 2
Pacientul G., în vârstă de 80 de ani. Diagnosticul clinic: OD - cataractă senilă incipientă, OS - cataractă senilă hipermatură. Patient G., 80 years old. Clinical diagnosis: OD - incipient senile cataract, OS - hypermature senile cataract.
Visus OD = 0,6 nu corijează Visus OD = 0.6 uncorrected
OS = l/u pr L certa (internare) OS = l/u pr L certa (hospitalization)
S-a efectuat intervenţia conform metodei revendicate la OD, după care The intervention was carried out according to the method claimed at the OD, after which
visus OD = 0,6 nu corijează visus OD = 0.6 does not correct
OS = 0,7 nu corijează (externare). OS = 0.7 does not correct (externalization).
La un an de la intervenţie la OS la biomicroscopie semne de descentrare a cristalinului artificial, procese inflamatorii şi procese patologice corneene nu s-au depistat. One year after the OS intervention, biomicroscopy showed no signs of decentration of the artificial lens, inflammatory processes, or corneal pathological processes.
Metoda a fost aplicată la 48 de pacienţi, în cadrul catedrei Oftalmologie ISMP SCR. La un an de la intervenţia microchirurgicală nu s-au depistat descentrări ale cristalinului artificial implantat. The method was applied to 48 patients, within the ISMP SCR Ophthalmology Department. One year after the microsurgical intervention, no decentrations of the implanted artificial lens were detected.
1. Краснов М.Л., Беляев В.С. Руководство по глазной хирургии. Москва, Медицина, 1988, с. 266-324 1. Krasnov M.L., Belyaev V.S. Guide to eye surgery. Moscow, Medicine, 1988, p. 266-324
Claims (1)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| MDS20110095A MD438Z (en) | 2011-05-23 | 2011-05-23 | Method for treating hypermature senile cataract |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| MDS20110095A MD438Z (en) | 2011-05-23 | 2011-05-23 | Method for treating hypermature senile cataract |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| MD438Y MD438Y (en) | 2011-11-30 |
| MD438Z true MD438Z (en) | 2012-06-30 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| MDS20110095A MD438Z (en) | 2011-05-23 | 2011-05-23 | Method for treating hypermature senile cataract |
Country Status (1)
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| MD (1) | MD438Z (en) |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| MD581Z (en) * | 2012-07-20 | 2013-08-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method of treatment of senile cataract associated with pseudoexfoliative syndrome |
| MD612Z (en) * | 2012-11-14 | 2013-10-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Device and method for treatment of senile cataract |
| MD656Z (en) * | 2013-02-04 | 2014-02-28 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method for treating senile cataract |
| MD722Z (en) * | 2013-07-12 | 2014-08-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Device and method for treating senile cataract |
| MD835Z (en) * | 2014-04-25 | 2015-06-30 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method for treating senile cataract |
| MD870Z (en) * | 2014-06-25 | 2015-08-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method for treating senile cataract |
Families Citing this family (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| MD500Z (en) * | 2011-11-29 | 2012-11-30 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Device and method for treatment of hypermature senile cataract |
| MD994Z (en) * | 2015-03-16 | 2016-08-31 | ОП ГОСУДАРСТВЕННЫЙ МЕДИЦИНСКИЙ И ФАРМАЦЕВТИЧЕСКИЙ УНИВЕРСИТЕТ им. НИКОЛАЯ ТЕСТЕМИЦАНУ РЕСПУБЛИКИ МОЛДОВА | Method for treating cataract complicated with anterior uveitis |
| MD1017Z (en) * | 2015-07-07 | 2016-10-31 | ОП ГОСУДАРСТВЕННЫЙ МЕДИЦИНСКИЙ И ФАРМАЦЕВТИЧЕСКИЙ УНИВЕРСИТЕТ им. НИКОЛАЯ ТЕСТЕМИЦАНУ РЕСПУБЛИКИ МОЛДОВА | Method for treating senile cataract |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| MD1979G2 (en) * | 2001-07-23 | 2003-02-28 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method of secondary cataract treatment |
| MD2515G2 (en) * | 2003-07-11 | 2005-02-28 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method of cataract treatment |
| MD2735G2 (en) * | 2004-07-30 | 2005-12-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method of secondary cataract treatment |
| MD3075G2 (en) * | 2005-07-22 | 2006-12-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Device and method of senile cataract treatment |
| MD3247G2 (en) * | 2006-09-06 | 2007-09-30 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method of senile cataract treatment |
| MD3475G2 (en) * | 2007-07-20 | 2008-08-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Device and method of senile cataract treatment |
| MD3676G2 (en) * | 2008-02-21 | 2009-03-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Device and method of treating the senile cataract |
| MD9Z (en) * | 2008-11-21 | 2009-10-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method for treating the senile cataract |
| MD142Z (en) * | 2009-08-28 | 2010-09-30 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Device and method for the treatment of senile cataract |
| MD292Z (en) * | 2010-07-01 | 2011-07-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method of treatment of senile cataract |
-
2011
- 2011-05-23 MD MDS20110095A patent/MD438Z/en not_active IP Right Cessation
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| MD1979G2 (en) * | 2001-07-23 | 2003-02-28 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method of secondary cataract treatment |
| MD2515G2 (en) * | 2003-07-11 | 2005-02-28 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method of cataract treatment |
| MD2735G2 (en) * | 2004-07-30 | 2005-12-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method of secondary cataract treatment |
| MD3075G2 (en) * | 2005-07-22 | 2006-12-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Device and method of senile cataract treatment |
| MD3247G2 (en) * | 2006-09-06 | 2007-09-30 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method of senile cataract treatment |
| MD3475G2 (en) * | 2007-07-20 | 2008-08-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Device and method of senile cataract treatment |
| MD3676G2 (en) * | 2008-02-21 | 2009-03-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Device and method of treating the senile cataract |
| MD9Z (en) * | 2008-11-21 | 2009-10-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method for treating the senile cataract |
| MD142Z (en) * | 2009-08-28 | 2010-09-30 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Device and method for the treatment of senile cataract |
| MD292Z (en) * | 2010-07-01 | 2011-07-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method of treatment of senile cataract |
Non-Patent Citations (1)
| Title |
|---|
| Краснов М.Л., Беляев В.С. Руководство по глазной хирургии. Москва, Медицина, 1988, с. 266-324 * |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| MD581Z (en) * | 2012-07-20 | 2013-08-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method of treatment of senile cataract associated with pseudoexfoliative syndrome |
| MD612Z (en) * | 2012-11-14 | 2013-10-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Device and method for treatment of senile cataract |
| MD656Z (en) * | 2013-02-04 | 2014-02-28 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method for treating senile cataract |
| MD722Z (en) * | 2013-07-12 | 2014-08-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Device and method for treating senile cataract |
| MD835Z (en) * | 2014-04-25 | 2015-06-30 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method for treating senile cataract |
| MD870Z (en) * | 2014-06-25 | 2015-08-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method for treating senile cataract |
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| Publication number | Publication date |
|---|---|
| MD438Y (en) | 2011-11-30 |
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