MD581Z - Method of treatment of senile cataract associated with pseudoexfoliative syndrome - Google Patents
Method of treatment of senile cataract associated with pseudoexfoliative syndrome Download PDFInfo
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- MD581Z MD581Z MDS20120104A MDS20120104A MD581Z MD 581 Z MD581 Z MD 581Z MD S20120104 A MDS20120104 A MD S20120104A MD S20120104 A MDS20120104 A MD S20120104A MD 581 Z MD581 Z MD 581Z
- Authority
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- Moldova
- Prior art keywords
- level
- conjunctiva
- cornea
- sutured
- rectus muscle
- Prior art date
Links
- 238000000034 method Methods 0.000 title claims abstract description 13
- 208000002177 Cataract Diseases 0.000 title claims abstract description 10
- 201000008525 senile cataract Diseases 0.000 title claims abstract description 8
- 208000011580 syndromic disease Diseases 0.000 title claims abstract description 6
- 210000000795 conjunctiva Anatomy 0.000 claims abstract description 10
- 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
- 210000001747 pupil Anatomy 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
- 239000003814 drug Substances 0.000 abstract description 2
- 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
- 239000011780 sodium chloride Substances 0.000 abstract 1
- 238000003759 clinical diagnosis Methods 0.000 description 2
- 201000008659 immature cataract Diseases 0.000 description 2
- 230000002757 inflammatory effect Effects 0.000 description 2
- 230000001575 pathological effect Effects 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
- 208000006550 Mydriasis Diseases 0.000 description 1
- 208000035965 Postoperative Complications Diseases 0.000 description 1
- 206010057765 Procedural complication Diseases 0.000 description 1
- 239000002775 capsule Substances 0.000 description 1
- 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 1
- 238000005406 washing Methods 0.000 description 1
Landscapes
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
Abstract
Description
Invenţia se referă la medicină, în special la oftalmologie şi poate fi utilizată pentru tratamentul cataractei senile asociate cu sindrom pseudoexfoliativ. The invention relates to medicine, in particular to ophthalmology and can be used for the treatment of senile cataract associated with pseudoexfoliative syndrome.
În calitate de cea mai apropiată soluţie serveşte metoda de tratament al cataractei senile, care constă în aceea că se efectuează anestezia locală şi regională, se fixează muşchiul rect superior, se incizează conjunctiva la nivelul limbului şi corneea la nivelul orelor 10.00…14.00, se marchează capsula anterioară, se efectuează capsulorexisul anterior, se înlătură nucleul cristalinului, se efectuează lavajul maselor cristaline, se implantează cristalinul artificial în camera posterioară, apoi se suturează conjunctiva, iar în spaţiul subconjunctival se introduce un antibiotic şi un remediu corticosteroid, după care se eliberează muşchiul rect superior [1]. The closest solution is the method of treating senile cataract, which consists of performing local and regional anesthesia, fixing the superior rectus muscle, incising the conjunctiva at the limbus level and the cornea at the 10:00…14:00 level, marking the anterior capsule, performing anterior capsulorhexis, removing the lens nucleus, washing the crystalline masses, implanting the artificial lens in the posterior chamber, then suturing the conjunctiva, and introducing an antibiotic and a corticosteroid remedy into the subconjunctival space, after which the superior rectus muscle is released [1].
Dezavantajele acestei metode constau în aceea că la prezenţa unei pupile rigide, nu se poate efectua un capsulorexis circular adecvat cu imposibilitatea înlăturării ulterioare a nucleului cristalinului. The disadvantages of this method are that in the presence of a rigid pupil, an adequate circular capsulorhexis cannot be performed, making it impossible to subsequently remove the lens nucleus.
Problema pe care o rezolvă invenţia dată constă în obţinerea unei midriaze adecvate, ce ar permite efectuarea unui capsulorexis circular adecvat cu posibilitatea de înlăturare a nucleului cristalinului. The problem solved by this invention consists in obtaining an adequate mydriasis, which would allow performing an adequate circular capsulorhexis with the possibility of removing the lens nucleus.
Conform invenţiei, metoda revendicată constă în aceea că se efectuează anestezia locală şi regională, se fixează muşchiul rect superior, se incizează conjunctiva la nivelul limbului şi corneea la nivelul orelor 10.00…14.00. Apoi la nivelul marginii pupilei se efectuează patru incizii ce corespund orelor 09.00, 12.00, 15.00 şi 18.00, fiecare cu o lungime de 2 mm, se efectuează capsulorexisul anterior, se înlătură nucleul cristalinului, se efectuează lavajul maselor cristaline, se implantează cristalinul artificial în camera posterioară, se suturează corneea şi se reface camera anterioară prin introducerea soluţiei fiziologice sterile. După aceasta se suturează conjunctiva, iar în spaţiul subconjunctival se introduce un antibiotic şi un remediu corticosteroid, după care se eliberează muşchiul rect superior. According to the invention, the claimed method consists in performing local and regional anesthesia, fixing the superior rectus muscle, incising the conjunctiva at the limbus level and the cornea at the level of 10:00…14:00. Then, at the level of the pupil edge, four incisions are made corresponding to the hours 09:00, 12:00, 15:00 and 18:00, each with a length of 2 mm, anterior capsulorhexis is performed, the lens nucleus is removed, the crystalline masses are washed, the artificial lens is implanted in the posterior chamber, the cornea is sutured and the anterior chamber is restored by introducing sterile physiological solution. After this, the conjunctiva is sutured, and an antibiotic and a corticosteroid remedy are introduced into the subconjunctival space, after which the superior rectus muscle is released.
Rezultatul constă în simplificarea intervenţiei microchirurgicale şi sporirea eficienţei în vederea profilaxiei complicaţiilor intra- şi postoperatorii. The result is the simplification of microsurgical intervention and increased efficiency in terms of preventing intra- and postoperative complications.
Metoda revendicată este simplă în realizare şi permite efectuarea unui capsulorexis circular adecvat cu posibilitatea ulterioară de a înlătura nucleul cristalinului. The claimed method is simple to perform and allows for performing an adequate circular capsulorhexis with the subsequent possibility of removing the lens nucleus.
Metoda de tratament al cataractei senile se realizează în modul următor: se efectuează anestezia locală şi regională, se fixează muşchiul rect superior, se incizează conjunctiva la nivelul limbului şi corneea la nivelul orelor 10.00…14.00. La nivelul marginii pupilei se efectuează patru incizii ce corespund orelor 09.00, 12.00, 15.00 şi 18.00, fiecare cu o lungime de 2 mm, se efectuează capsulorexisul anterior, se înlătură nucleul cristalinului, se efectuează lavajul maselor cristaline, se implantează cristalinul artificial în camera posterioară, se suturează corneea şi se reface camera anterioară prin introducerea soluţiei fiziologice sterile, apoi se suturează conjunctiva, iar în spaţiul subconjunctival se introduce un antibiotic şi un remediu corticosteroid, după care se eliberează muşchiul rect superior. The method of treatment of 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 and the cornea at the level of 10:00…14:00. At the level of the pupil edge, four incisions are made corresponding to the hours 09:00, 12:00, 15:00 and 18:00, each with a length of 2 mm, the anterior capsulorhexis is performed, the lens nucleus is removed, the crystalline masses are washed, the artificial lens is implanted in the posterior chamber, the cornea is sutured and the anterior chamber is restored by introducing sterile physiological solution, then the conjunctiva is sutured, and an antibiotic and a corticosteroid remedy are introduced into the subconjunctival space, after which the superior rectus muscle is released.
Exemplul 1 Example 1
Pacientul X., în vârstă de 69 de ani cu diagnosticul clinic: OD - cataractă senilă matură cu sindrom pseudoexfoliativ, OS - cataractă senilă incipientă. Patient X., 69 years old with the clinical diagnosis: OD - mature senile cataract with pseudoexfoliative syndrome, OS - incipient senile cataract.
Visus Dream
OD = l/u pr L certa OD = l/u pr L certa
OS 0,4 nu corijează (externare). OS 0.4 does not fix (externalization).
S-a efectuat intervenţia conform metodei revendicate la OD, după care 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. The intervention was performed according to the claimed method at OD, after which 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
Pacienta Y., în vârstă de 74 de ani cu diagnosticul clinic: OD - cataractă senilă intumescentă cu sindrom pseudoexfoliativ. OS - cataractă senilă incipientă. Patient Y., 74 years old with the clinical diagnosis: OD - intumescent senile cataract with pseudoexfoliative syndrome. OS - incipient senile cataract.
Visus Dream
OD = 0,05….0,06 nu corijează OD = 0.05….0.06 does not correct
OS 0,3 nu corijează (internare) OS 0.3 does not correct (hospitalization)
S-a efectuat intervenţia conform metodei revendicate la OD, după care 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. The intervention was performed according to the claimed method at OD, after which one year after the intervention at OD, biomicroscopy showed no signs of decentration of the artificial lens and no inflammatory or pathological corneal processes.
Visus Dream
OD = 0,6 nu corijează OD = 0.6 does not correct
OS 0,3 nu corijează (externare). OS 0.3 does not fix (externalization).
Metoda a fost aplicată la 14 pacienţi, în cadrul catedrei Oftalmologie ISMP SCR. La 1 an de la intervenţia microchirurgicală nu s-au depistat descentrări ale cristalinului artificial implantat. The method was applied to 14 patients, within the ISMP SCR Ophthalmology Department. 1 year after the microsurgical intervention, no decentrations of the implanted artificial lens were detected.
1. Евграфов В.Ю., Батманов Ю.Е. Катаракта. Москва, 2005, с. 213-254 1. Evgrafov В.Ю., Batmanov Ю.Е. Cataract. Moscow, 2005, p. 213-254
Claims (1)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| MDS20120104A MD581Z (en) | 2012-07-20 | 2012-07-20 | Method of treatment of senile cataract associated with pseudoexfoliative syndrome |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| MDS20120104A MD581Z (en) | 2012-07-20 | 2012-07-20 | Method of treatment of senile cataract associated with pseudoexfoliative syndrome |
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| Publication Number | Publication Date |
|---|---|
| MD581Y MD581Y (en) | 2013-01-31 |
| MD581Z true MD581Z (en) | 2013-08-31 |
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| Application Number | Title | Priority Date | Filing Date |
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| MDS20120104A MD581Z (en) | 2012-07-20 | 2012-07-20 | Method of treatment of senile cataract associated with pseudoexfoliative syndrome |
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| MD (1) | MD581Z (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| MD722Z (en) * | 2013-07-12 | 2014-08-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Device and 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 (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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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| SU1258404A1 (en) * | 1981-11-23 | 1986-09-23 | Киевский научно-исследовательский институт клинической и экспериментальной хирургии | Method of treatment of cataracta |
| MD35C2 (en) * | 1985-07-22 | 1994-11-30 | Sumitomo Chemical Co., Ltd | Herbicide composition |
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| MD2075C2 (en) * | 2001-07-19 | 2003-06-30 | Олег БАЕВ | Process for brandy obtaining |
| MD2515G2 (en) * | 2003-07-11 | 2005-02-28 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method of cataract treatment |
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| MD3475G2 (en) * | 2007-07-20 | 2008-08-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Device and method of senile cataract treatment |
| MD3502G2 (en) * | 2006-12-28 | 2008-09-30 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method of traumatic cataract treatment |
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| MD500Y (en) * | 2011-11-29 | 2012-04-30 | Univ Nicolae Testemitanu | Device and method for treatment of hypermature senile cataract |
| MD437Z (en) * | 2011-03-04 | 2012-06-30 | Usmf Nicolae Testemitanu Republica Moldova | Method for treating senile cataract |
| MD438Z (en) * | 2011-05-23 | 2012-06-30 | Usmf Nicolae Testemitanu Republica Moldova | Method for treating hypermature senile cataract |
-
2012
- 2012-07-20 MD MDS20120104A patent/MD581Z/en not_active IP Right Cessation
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| SU1102596A1 (en) * | 1982-12-15 | 1984-07-15 | Всесоюзный Научно-Исследовательский Институт Глазных Болезней | Method of protecting cornea rear epithelium in surgical methods of treating cataracta |
| MD35C2 (en) * | 1985-07-22 | 1994-11-30 | Sumitomo Chemical Co., Ltd | Herbicide composition |
| MD2075C2 (en) * | 2001-07-19 | 2003-06-30 | Олег БАЕВ | Process for brandy obtaining |
| MD1979G2 (en) * | 2001-07-23 | 2003-02-28 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method of secondary cataract treatment |
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| MD3475G2 (en) * | 2007-07-20 | 2008-08-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Device and method of senile cataract treatment |
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| MD500Y (en) * | 2011-11-29 | 2012-04-30 | Univ Nicolae Testemitanu | Device and method for treatment of hypermature senile cataract |
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| Title |
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| Евграфов В.Ю., Батманов Ю.Е. Катаракта. Москва, 2005, с. 213-254 * |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| MD722Z (en) * | 2013-07-12 | 2014-08-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Device and 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 |
|---|---|
| MD581Y (en) | 2013-01-31 |
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