MD835Z - Method for treating senile cataract - Google Patents
Method for treating senile cataract Download PDFInfo
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- MD835Z MD835Z MDS20140056A MDS20140056A MD835Z MD 835 Z MD835 Z MD 835Z MD S20140056 A MDS20140056 A MD S20140056A MD S20140056 A MDS20140056 A MD S20140056A MD 835 Z MD835 Z MD 835Z
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- anterior chamber
- anterior
- lens
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- 208000002177 Cataract Diseases 0.000 title claims abstract description 11
- 238000000034 method Methods 0.000 title claims abstract description 9
- 201000008525 senile cataract Diseases 0.000 title claims abstract description 8
- 210000002159 anterior chamber Anatomy 0.000 claims abstract description 21
- 210000004087 cornea Anatomy 0.000 claims abstract description 6
- 239000003242 anti bacterial agent Substances 0.000 claims abstract description 5
- 230000003115 biocidal effect Effects 0.000 claims abstract description 5
- 239000002775 capsule Substances 0.000 claims abstract description 5
- 210000000795 conjunctiva Anatomy 0.000 claims abstract description 5
- 239000003246 corticosteroid Substances 0.000 claims abstract description 5
- 238000002690 local anesthesia Methods 0.000 claims abstract description 4
- 230000000149 penetrating effect Effects 0.000 claims description 3
- 239000003814 drug Substances 0.000 abstract description 4
- 229940079593 drug Drugs 0.000 abstract description 2
- 239000003795 chemical substances by application Substances 0.000 abstract 1
- 206010010996 Corneal degeneration Diseases 0.000 description 2
- 208000010412 Glaucoma Diseases 0.000 description 2
- 206010023204 Joint dislocation Diseases 0.000 description 2
- 206010046851 Uveitis Diseases 0.000 description 2
- 201000004781 bullous keratopathy 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
- 230000002980 postoperative effect Effects 0.000 description 2
- 208000032984 Intraoperative Complications Diseases 0.000 description 1
- 206010057765 Procedural complication Diseases 0.000 description 1
- ATJFFYVFTNAWJD-UHFFFAOYSA-N Tin Chemical compound [Sn] ATJFFYVFTNAWJD-UHFFFAOYSA-N 0.000 description 1
- 238000004500 asepsis Methods 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- LELAOEBVZLPXAZ-UHFFFAOYSA-N iberin Chemical compound CS(=O)CCCN=C=S LELAOEBVZLPXAZ-UHFFFAOYSA-N 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 210000003041 ligament Anatomy 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 229910052718 tin Inorganic materials 0.000 description 1
- 238000002691 topical anesthesia Methods 0.000 description 1
- 210000004127 vitreous body Anatomy 0.000 description 1
- 230000003313 weakening effect Effects 0.000 description 1
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- Materials For Medical Uses (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Abstract
Description
Invenţia se referă la medicină, şi anume la oftalmologie, şi poate fi aplicată pentru tratamentul pacienţilor cu cataractă senilă. The invention relates to medicine, namely to ophthalmology, and can be applied to the treatment of patients with senile cataract.
Este cunoscută metoda de tratament al cataractei senile, care constă în extracţia cataractei cu implantarea unui cristalin artificial. În cadrul ei, după anestezia topică şi aseptizarea obişnuită a câmpului operator, se aplică blefarostatul, se efectuează o incizie a corneei de la nivelul orelor 10°° până la nivelul orelor 13°°. Camera anterioară se deschide la nivelul orei 11°° şi se introduce aer steril. Se efectuează marcajul capsulei anterioare, se introduce în ea un remediu vâscoelastic şi se efectuează capsulorexisul anterior, se efectuează o incizie a corneei înspre orele 10°° şi 13°°, se înlătură nucleul cristalinian, se efectuează lavajul maselor cristaliniene, se implantează cristalinul artificial. Incizia corneeană se suturează cu fir 10-0 în surget. Se suturează conjunctiva cu fir 8-0 la nivelul orelor 10°° şi 13°°, subconjunctival se introduce un antibiotic şi un preparat corticosteroid şi se aplică un pansament monocular aseptic [1]. The method of treatment of senile cataract is known, which consists in the extraction of the cataract with the implantation of an artificial lens. In it, after topical anesthesia and the usual asepsis of the operating field, the blepharostat is applied, a corneal incision is made from the 10 o'clock level to the 13 o'clock level. The anterior chamber is opened at the 11 o'clock level and sterile air is introduced. The anterior capsule is marked, a viscoelastic remedy is introduced into it and the anterior capsulorhexis is performed, a corneal incision is made towards the 10 o'clock and 13 o'clock levels, the crystalline nucleus is removed, the crystalline masses are washed, and the artificial lens is implanted. The corneal incision is sutured with 10-0 thread in a surge. The conjunctiva is sutured with 8-0 thread at the 10°° and 13°° o'clock positions, an antibiotic and a corticosteroid preparation are introduced subconjunctivally, and an aseptic monocular dressing is applied [1].
Dezavantajele acestei metode constau în faptul că în cazul unei cataracte senile cu subluxare (slăbirea ligamentului Zinn), la efectuarea capsulorexisului anterior se poate amplifica subluxarea sau poate parveni şi luxarea cristalinului în corpul vitros, care pot declanşa ulterior un glaucom secundar, o uveită postoperatorie sau o keratopatie edemato-buloasă. The disadvantages of this method are that in the case of a senile cataract with subluxation (weakening of the Zinn ligament), when performing anterior capsulorhexis, the subluxation may be amplified or the lens may also become dislocated in the vitreous body, which may subsequently trigger secondary glaucoma, postoperative uveitis or edematous-bullous keratopathy.
Problema pe care o rezolvă invenţia dată constă în elaborarea unei metode noi ce ar permite fixarea intraoperatorie a cristalinului subluxat în timpul efectuării capsulorexisului anterior. The problem solved by this invention consists in developing a new method that would allow intraoperative fixation of the subluxated lens during anterior capsulorhexis.
Esenţa invenţiei constă în aceea că se efectuează anestezia locală, se prelucrează câmpul operator, se aplică blefarostatul, se efectuează o incizie nepenetrantă a corneei ce corespunde orelor 10ºº…13ºº, se deschide camera anterioară la nivelul orelor 11ºº şi 13ºº, se introduce aer steril în camera anterioară, se efectuează marcajul capsulei anterioare, după care bimanual, prin inciziile efectuate, în camera anterioară se introduc concomitent 2 dispozitive care constau dintr-o seringă cu ac executat din două segmente, unul proximal cu lungimea de 9 mm îndoit sub un unghi de 135º faţă de axa longitudinală a seringei, iar altul distal cu lungimea de 3 mm perpendicular pe axa menţionată; cu primul dispozitiv care se introduce la nivelul orei 11ºº se fixează cristalinul, iar cu dispozitivul al doilea care se introduce la nivelul orei 13ºº se efectuează capsulorexisul anterior circular în direcţia acelor de ceasornic, apoi se introduce un remediu vâscoelastic în camera anterioară, se înlătură nucleul, se efectuează lavajul maselor cristaliniene, se implantează cristalinul artificial de camera posterioară, se suturează corneea, se reface camera anterioară şi se suturează conjunctiva, iar subconjunctival se introduce un antibiotic şi un remediu corticosteroid. The essence of the invention consists in performing local anesthesia, preparing the operating field, applying the blepharostat, making a non-penetrating incision of the cornea corresponding to 10 o'clock…13 o'clock, opening the anterior chamber at 11 o'clock and 13 o'clock, introducing sterile air into the anterior chamber, marking the anterior capsule, after which bimanually, through the incisions made, 2 devices are simultaneously introduced into the anterior chamber, consisting of a syringe with a needle made of two segments, a proximal one with a length of 9 mm bent at an angle of 135º to the longitudinal axis of the syringe, and another distal one with a length of 3 mm perpendicular to the said axis; with the first device, which is inserted at the 11 o'clock position, the lens is fixed, and with the second device, which is inserted at the 13 o'clock position, the anterior capsulorhexis is performed in a clockwise circular direction, then a viscoelastic remedy is introduced into the anterior chamber, the nucleus is removed, the lens masses are lavaged, the artificial lens is implanted in the posterior chamber, the cornea is sutured, the anterior chamber is restored and the conjunctiva is sutured, and an antibiotic and a corticosteroid remedy are introduced subconjunctivally.
Avantajele metodei constau în faptul că este uşor de realizat datorită introducerii concomitente, bimanuale, a 2 dispozitive menţionate, unul are scopul de a fixa cristalinul, iar al doilea serveşte pentru efectuarea capsulorexisului anterior, astfel se evită declanşarea unor complicaţii cum ar fi: glaucomul secundar, uveita postoperatorie şi keratopatia edemato-buloasă. The advantages of the method are that it is easy to perform due to the simultaneous, bimanual introduction of the 2 mentioned devices, one aims to fix the lens, and the second serves to perform the anterior capsulorhexis, thus avoiding the triggering of complications such as: secondary glaucoma, postoperative uveitis and edematous-bullous keratopathy.
Rezultatul tehnic constă în simplificarea intervenţiei microchirurgicale şi minimalizarea complicaţiilor intraoperatorii. The technical result consists in simplifying the microsurgical intervention and minimizing intraoperative complications.
Exemplu de realizare a invenţiei Example of embodiment of the invention
Se efectuează anestezia locală, se prelucrează câmpul operator, se aplică blefarostatul, se efectuează o incizie nepenetrantă a corneei ce corespunde orelor 10ºº…13ºº, se deschide camera anterioară la nivelul orelor 11ºº şi 13ºº, se introduce aer steril în camera anterioară, se efectuează marcajul capsulei anterioare, după care bimanual, prin inciziile efectuate, în camera anterioară se introduc concomitent 2 dispozitive care constau dintr-o seringă cu ac executat din două segmente, unul proximal cu lungimea de 9 mm îndoit sub un unghi de 135º faţă de axa longitudinală a seringei, iar altul distal cu lungimea de 3 mm perpendicular pe axa menţionată; cu primul dispozitiv care se introduce la nivelul orei 11ºº se fixează cristalinul, iar cu dispozitivul al doilea care se introduce la nivelul orei 13ºº se efectuează capsulorexisul anterior circular în direcţia acelor de ceasornic, apoi se introduce un remediu vâscoelastic în camera anterioară, se înlătură nucleul, se efectuează lavajul maselor cristaliniene, se implantează cristalinul artificial de camera posterioară, se suturează corneea, se reface camera anterioară şi se suturează conjunctiva, iar subconjunctival se introduce un antibiotic şi un remediu corticosteroid. Local anesthesia is performed, the operating field is prepared, the blepharostat is applied, a non-penetrating corneal incision is made corresponding to 10 o'clock…13 o'clock, the anterior chamber is opened at 11 o'clock and 13 o'clock, sterile air is introduced into the anterior chamber, the anterior capsule is marked, after which bimanually, through the incisions made, 2 devices are simultaneously introduced into the anterior chamber consisting of a syringe with a needle made of two segments, a proximal one with a length of 9 mm bent at an angle of 135º to the longitudinal axis of the syringe, and another distal one with a length of 3 mm perpendicular to the aforementioned axis; with the first device, which is inserted at the 11 o'clock position, the lens is fixed, and with the second device, which is inserted at the 13 o'clock position, the anterior capsulorhexis is performed in a clockwise circular direction, then a viscoelastic remedy is introduced into the anterior chamber, the nucleus is removed, the lens masses are lavaged, the artificial lens is implanted in the posterior chamber, the cornea is sutured, the anterior chamber is restored and the conjunctiva is sutured, and an antibiotic and a corticosteroid remedy are introduced subconjunctivally.
Exemplul 1 Example 1
Pacientul X., în vârstă de 62 de ani. Diagnosticul clinic: ochiul stâng (OS) - cataractă senilă. Ochiul drept (OD) - cataractă incipientă legată de vârstă. Patient X., 62 years old. Clinical diagnosis: left eye (OS) - senile cataract. Right eye (OD) - incipient age-related cataract.
Visus OD = 0,4 nu corijează (la internare) Visus OD = 0.4 uncorrected (at admission)
OS 1/Ω pr L certa OS 1/Ω pr L certa
Efectuarea intervenţiei microchirurgicale la OS conform metodei revendicate: Performing microsurgical intervention on the OS according to the claimed method:
Visus OD = 0,4 nu corijează (la externare) Visus OD = 0.4 uncorrected (at discharge)
OS 0,4 nu corijează OS 0.4 does not fix
La un an de la intervenţia microchirurgicală la OS, în cadrul biomicroscopiei, semne de decentrare a cristalinului artificial implantat nu s-au depistat. One year after the microsurgical intervention on the OS, during biomicroscopy, no signs of decentration of the implanted artificial lens were detected.
Exemplul 2 Example 2
Pacientul I., în vârstă de 74 de ani. Diagnosticul clinic: OD - cataractă senilă. OS - cataractă incipientă legată de vârstă. Patient I., 74 years old. Clinical diagnosis: OD - senile cataract. OS - incipient age-related cataract.
Visus OD = 1/Ω pr L certa (la internare) Visus OD = 1/Ω pr L certa (at admission)
OS 0,6 nu corijează OS 0.6 does not fix
Visus OD = 0,6 nu corijează (la externare) Visus OD = 0.6 uncorrected (at discharge)
OS 0,6 nu corijează OS 0.6 does not fix
La un an de la intervenţia microchirurgicală, la OD, în cadrul biomicroscopiei, semne de decentrare a cristalinului artificial implantat nu s-au depistat. One year after the microsurgical intervention, at OD, during biomicroscopy, no signs of decentration of the implanted artificial lens were detected.
Metoda dată a fost aplicată la 23 de pacienţi din cadrul catedrei Oftalmologie a IMSP SCR. La un an de la intervenţia microchirurgicală pacienţii au fost inspectaţi şi nu au fost constatate cazuri de decentrare a cristalinului artificial implantat. This method was applied to 23 patients from the Ophthalmology Department of IMSP SCR. One year after the microsurgical intervention, the patients were inspected and no cases of decentration of the implanted artificial lens were found.
1. Краснов М., Беляев В. Руководство по глазной хирургии. Москва, Медицина, 1988, p. 266-324 1. Krasnov M., Belyaev V. Guide to eye surgery. Moscow, Medicine, 1988, p. 266-324
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Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| MDS20140056A MD835Z (en) | 2014-04-25 | 2014-04-25 | Method for treating senile cataract |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| MDS20140056A MD835Z (en) | 2014-04-25 | 2014-04-25 | Method for treating senile cataract |
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| Publication Number | Publication Date |
|---|---|
| MD835Y MD835Y (en) | 2014-11-30 |
| MD835Z true MD835Z (en) | 2015-06-30 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| MDS20140056A MD835Z (en) | 2014-04-25 | 2014-04-25 | Method for treating senile cataract |
Country Status (1)
| Country | Link |
|---|---|
| MD (1) | MD835Z (en) |
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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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| SU1232250A1 (en) * | 1984-03-29 | 1986-05-23 | Харьковский Медицинский Институт | Method of extracting cataract |
| SU1258404A1 (en) * | 1981-11-23 | 1986-09-23 | Киевский научно-исследовательский институт клинической и экспериментальной хирургии | Method of treatment of cataracta |
| SU1337087A1 (en) * | 1985-03-18 | 1987-09-15 | Всесоюзный Научно-Исследовательский Институт Глазных Болезней | Method of surgical treatment of cataract |
| SU1351603A1 (en) * | 1985-08-26 | 1987-11-15 | Московский научно-исследовательский институт микрохирургии глаза | Method of extracting cataracta |
| SU1500294A1 (en) * | 1987-03-27 | 1989-08-15 | Донецкий медицинский институт им.М.Горького | Method of treatment of the secondary cataracta |
| 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 |
| MD9Z (en) * | 2008-11-21 | 2009-10-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method for treating the 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 |
| 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 |
| 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 |
-
2014
- 2014-04-25 MD MDS20140056A patent/MD835Z/en not_active IP Right Cessation
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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 |
| SU1232250A1 (en) * | 1984-03-29 | 1986-05-23 | Харьковский Медицинский Институт | Method of extracting cataract |
| SU1337087A1 (en) * | 1985-03-18 | 1987-09-15 | Всесоюзный Научно-Исследовательский Институт Глазных Болезней | Method of surgical treatment of cataract |
| SU1351603A1 (en) * | 1985-08-26 | 1987-11-15 | Московский научно-исследовательский институт микрохирургии глаза | Method of extracting cataracta |
| SU1500294A1 (en) * | 1987-03-27 | 1989-08-15 | Донецкий медицинский институт им.М.Горького | Method of treatment of the secondary cataracta |
| MD2735G2 (en) * | 2004-07-30 | 2005-12-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method of secondary cataract treatment |
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| MD9Z (en) * | 2008-11-21 | 2009-10-31 | Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова | Method for treating the 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 |
| 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 |
| 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 |
Non-Patent Citations (1)
| Title |
|---|
| Краснов М., Беляев В. Руководство по глазной хирургии. Москва, Медицина, 1988, p. 266-324 * |
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