MD978Z - Method for treating senile cataract - Google Patents
Method for treating senile cataract Download PDFInfo
- Publication number
- MD978Z MD978Z MDS20150060A MDS20150060A MD978Z MD 978 Z MD978 Z MD 978Z MD S20150060 A MDS20150060 A MD S20150060A MD S20150060 A MDS20150060 A MD S20150060A MD 978 Z MD978 Z MD 978Z
- Authority
- MD
- Moldova
- Prior art keywords
- anterior
- anterior chamber
- cornea
- chamber
- carried out
- Prior art date
Links
- 208000002177 Cataract Diseases 0.000 title claims abstract description 10
- 238000000034 method Methods 0.000 title claims abstract description 9
- 201000008525 senile cataract Diseases 0.000 title claims abstract description 7
- 210000002159 anterior chamber Anatomy 0.000 claims abstract description 22
- 210000004087 cornea Anatomy 0.000 claims abstract description 11
- 210000000795 conjunctiva Anatomy 0.000 claims abstract description 7
- 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
- 238000002690 local anesthesia Methods 0.000 claims abstract description 4
- 239000003246 corticosteroid Substances 0.000 claims description 4
- 238000005406 washing Methods 0.000 claims description 2
- 239000003814 drug Substances 0.000 abstract description 3
- 239000003470 adrenal cortex hormone Substances 0.000 abstract 1
- 239000003795 chemical substances by application Substances 0.000 abstract 1
- 208000015181 infectious disease Diseases 0.000 description 4
- 206010046851 Uveitis Diseases 0.000 description 2
- 238000003759 clinical diagnosis Methods 0.000 description 2
- 201000008659 immature cataract Diseases 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 238000007789 sealing Methods 0.000 description 2
- 208000035965 Postoperative Complications Diseases 0.000 description 1
- 210000001742 aqueous humor Anatomy 0.000 description 1
- 238000004500 asepsis Methods 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
- 229940079593 drug Drugs 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 238000001914 filtration Methods 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 238000002691 topical anesthesia Methods 0.000 description 1
Landscapes
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Abstract
Description
Invenţia se referă la medicină, în special la oftalmologie şi poate fi aplicată pentru tratamentul pacienţilor cu cataractă senilă. The invention relates to medicine, in particular 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 de cameră posterioară. În cadrul ei, după anestezia topică şi aseptizarea obişnuită a câmpului operator, se aplică blefarostatul, se efectuează o incizie a corneei ce corespunde orelor 10.00…13.00. Camera anterioară se deschide la nivelul orei 11.00 şi se insuflă aer steril. Se efectuează marcajul capsulei anterioare, se introduce în ea un remediu viscoelastic şi se efectuează capsulorexisul anterior. Se efectuează incizia corneei spre orele 10.00 şi 13.00, se înlătură nucleul cu lavajul maselor cristaliniene, se implantează cristalinul artificial de cameră posterioară. Incizia corneeană se suturează cu fir 10-0 în surjet. Se suturează conjunctiva cu fir 8-0 la nivelul orelor 10.00 şi 13.00, 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 posterior chamber lens. In it, after topical anesthesia and the usual asepsis of the operating field, blepharostat is applied, a corneal incision is made corresponding to the hours of 10:00…13:00. The anterior chamber is opened at the level of 11:00 and sterile air is insufflated. The anterior capsule is marked, a viscoelastic remedy is introduced into it and anterior capsulorhexis is performed. The corneal incision is made at around 10:00 and 13:00, the nucleus is removed with the lavage of the crystalline masses, the artificial posterior chamber lens is implanted. The corneal incision is sutured with 10-0 thread in surjet. The conjunctiva is sutured with 8-0 thread at 10:00 and 13:00, an antibiotic and a corticosteroid preparation are introduced subconjunctivally, and an aseptic monocular dressing is applied [1].
Dezavantajul acestei metode constă în faptul că sutura corneeană, contactând cu mediul extern, poate fi sursa unei infecţii intraoculare, declanşând o uveită postoperatorie. Pe de altă parte, la un efort fizic al pacientului, se poate reduce conţinutul camerei anterioare prin filtrarea lichidului intraocular prin plaga corneeană supurată. The disadvantage of this method is that the corneal suture, in contact with the external environment, can be the source of an intraocular infection, triggering a postoperative uveitis. On the other hand, during physical exertion of the patient, the content of the anterior chamber can be reduced by filtering the intraocular fluid through the suppurating corneal wound.
Problema pe care o rezolvă invenţia dată constă în ermetizarea completă a plăgii corneene suturate prin acoperirea acesteia cu conjunctiva fixată de cornee. The problem solved by this invention consists in completely sealing the sutured corneal wound by covering it with conjunctiva fixed to the cornea.
Metoda, conform invenţiei, constă în aceea că se efectuează anestezia locală, se prelucrează câmpul operator, se aplică blefarostatul, se efectuează o incizie a corneei ce corespunde orelor 10.00…13.00, se deschide camera anterioară la nivelul orei 11.00, se introduce aer steril în camera anterioară, se efectuează marcajul capsulei anterioare, se introduce un remediu viscoelastic în camera anterioară, se efectuează capsulorexisul anterior, se înlătură nucleul, se efectuează lavajul maselor cristaliniene, se implantează cristalinul artificial în camera posterioară, se suturează corneea, se reface camera anterioară şi se suturează conjunctiva peste incizia corneeană prin cornee la nivelul orelor 10.00, 12.00, 13.00, după care subconjunctival se introduce un antibiotic şi un remediu corticosteroid. The method, according to the invention, consists in performing local anesthesia, processing the operating field, applying the blepharostat, making an incision in the cornea corresponding to 10:00…13:00, opening the anterior chamber at 11:00, introducing sterile air into the anterior chamber, marking the anterior capsule, introducing a viscoelastic remedy into the anterior chamber, performing anterior capsulorhexis, removing the nucleus, washing the crystalline masses, implanting the artificial lens in the posterior chamber, suturing the cornea, restoring the anterior chamber and suturing the conjunctiva over the corneal incision through the cornea at 10:00, 12:00, 13:00, after which an antibiotic and a corticosteroid remedy are introduced subconjunctivally.
Avantajele metodei constau în faptul că ea este simplă în realizare şi datorită ermetizării sigure a inciziei corneene cu conjunctiva pacientului se evită astfel de complicaţii cum ar fi: uveita postoperatorie şi pierderea conţinutului camerei anterioare. The advantages of the method are that it is simple to perform and due to the secure sealing of the corneal incision with the patient's conjunctiva, complications such as postoperative uveitis and loss of anterior chamber contents are avoided.
Rezultatul invenţiei constă în simplificarea intervenţiei microchirurgicale şi minimalizarea complicaţiilor postoperatorii. The result of the invention consists in simplifying the microsurgical intervention and minimizing postoperative complications.
Se efectuează anestezia locală, se prelucrează câmpul operator, se aplică blefarostatul, se efectuează o incizie a corneei ce corespunde orelor 10.00…13.00, se deschide camera anterioară la nivelul orei 11.00, se introduce aer steril în camera anterioară, se efectuează marcajul capsulei anterioare, se introduce un remediu viscoelastic în camera anterioară, se efectuează capsulorexisul anterior, se înlătură nucleul, se efectuează lavajul maselor cristaliniene, se implantează cristalinul artificial în camera posterioară, se suturează corneea, se reface camera anterioară şi se suturează conjunctiva peste incizia corneeană prin cornee la nivelul orelor 10.00, 12.00, 13.00, după care subconjunctival se introduce un antibiotic şi un remediu corticosteroid. Local anesthesia is performed, the operating field is prepared, the blepharostat is applied, a corneal incision is made corresponding to 10:00…13:00, the anterior chamber is opened at 11:00, sterile air is introduced into the anterior chamber, the anterior capsule is marked, a viscoelastic remedy is introduced into the anterior chamber, anterior capsulorhexis is performed, 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 over the corneal incision through the cornea at 10:00, 12:00, 13:00, after which an antibiotic and a corticosteroid remedy are introduced subconjunctivally.
Exemplul 1 Example 1
Pacientul X., în vârstă de 65 de ani. Diagnosticul clinic: ochiul drept (OD) - cataractă senilă matură. Ochiul stâng (OS) - cataractă senilă incipientă. Patient X., 65 years old. Clinical diagnosis: right eye (RO) - mature senile cataract. Left eye (LO) - incipient senile cataract.
Visus OD = l/u pr L certa (la internare) Visus OD = l/u pr L certa (at admission)
OS 0,4 nu corijează OS 0.4 does not fix
Efectuarea intervenţiei microchirurgicale la OD conform metodei revendicate: Performing microsurgical intervention at the OD according to the claimed method:
Visus OD = 0,5 nu corijează (la externare) Visus OD = 0.5 uncorrected (at discharge)
OS 0,4 nu corijează OS 0.4 does not fix
La o lună după intervenţia microchirurgicală la OD, în cadrul biomicroscopiei, semne de infecţie intraoculară sau diminuare a camerei anterioare nu s-au depistat. One month after the microsurgical intervention at the OD, during biomicroscopy, no signs of intraocular infection or anterior chamber diminution were detected.
Exemplul 2 Example 2
Pacientul I., în vârstă de 75 de ani. Diagnosticul clinic: ochiul stâng (OS) - cataractă senilă matură. Ochiul drept (OD) - cataractă senilă incipientă. Patient I., 75 years old. Clinical diagnosis: left eye (OS) - mature senile cataract. Right eye (OD) - incipient senile cataract.
Visus OD = 0,2 nu corijează (la internare) Visus OD = 0.2 uncorrected (at admission)
OS l/u pr L certa OS l/u pr L querta
S-a efectuat intervenţia microchirurgicală la OS conform invenţiei: The microsurgical intervention on the OS was performed according to the invention:
Visus OD = 0,2 nu corijează (la externare) Visus OD = 0.2 uncorrected (at discharge)
OS 0,5 nu corijează OS 0.5 does not correct
La o lună după intervenţia microchirurgicală la OS, în cadrul biomicroscopiei, semne de infecţie intraoculară sau diminuare a camerei anterioare nu s-au depistat. One month after the OS microsurgical intervention, during biomicroscopy, no signs of intraocular infection or anterior chamber diminution were detected.
Metoda dată a fost aplicată la 22 de pacienţi, în cadrul catedrei Oftalmologie, IP USMF, SCR, care au fost inspectaţi la o lună de la intervenţia microchirurgicală şi nu s-au depistat semne de infecţie intraoculară sau diminuare a camerei anterioare. This method was applied to 22 patients, within the Department of Ophthalmology, IP USMF, SCR, who were inspected one month after the microsurgical intervention and no signs of intraocular infection or anterior chamber diminution were detected.
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
Claims (1)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| MDS20150060A MD978Z (en) | 2015-04-17 | 2015-04-17 | Method for treating senile cataract |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| MDS20150060A MD978Z (en) | 2015-04-17 | 2015-04-17 | Method for treating senile cataract |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| MD978Y MD978Y (en) | 2015-12-31 |
| MD978Z true MD978Z (en) | 2016-07-31 |
Family
ID=55068716
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| MDS20150060A MD978Z (en) | 2015-04-17 | 2015-04-17 | Method for treating senile cataract |
Country Status (1)
| Country | Link |
|---|---|
| MD (1) | MD978Z (en) |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| MD1017Z (en) * | 2015-07-07 | 2016-10-31 | ОП ГОСУДАРСТВЕННЫЙ МЕДИЦИНСКИЙ И ФАРМАЦЕВТИЧЕСКИЙ УНИВЕРСИТЕТ им. НИКОЛАЯ ТЕСТЕМИЦАНУ РЕСПУБЛИКИ МОЛДОВА | Method for treating senile cataract |
-
2015
- 2015-04-17 MD MDS20150060A patent/MD978Z/en not_active IP Right Cessation
Non-Patent Citations (1)
| Title |
|---|
| Краснов М., Беляев В. Руководство по глазной хирургии. Москва, Медицина, 1988, p.266-324 * |
Also Published As
| Publication number | Publication date |
|---|---|
| MD978Y (en) | 2015-12-31 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| Teng et al. | Comparison of Artisan iris-claw intraocular lens implantation and posterior chamber intraocular lens sulcus fixation for aphakic eyes | |
| MD438Z (en) | Method for treating hypermature senile cataract | |
| MD437Z (en) | Method for treating senile cataract | |
| Bhargava et al. | Phacoemulsification versus small incision cataract surgery in patients with uveitis | |
| Fritch | Risk of retinal detachment in myopic eyes after intraocular lens implantation: a 7 year study | |
| MD142Y (en) | Device and method of treatment of cataract senile | |
| MD3247F1 (en) | Method of treatment of senile cataract | |
| MD2735F1 (en) | Method of secondary cataract treatment | |
| MD500Z (en) | Device and method for treatment of hypermature senile cataract | |
| MD656Z (en) | Method for treating senile cataract | |
| RU2598643C1 (en) | Method of stabilization of the capsular bag for carrying out of the cataract phacoemulsification at patients with extensive defects of the ligamentous apparatus of lens | |
| Chang et al. | Long-term results of implantation of posterior chamber intraocular lens by suture fixation. | |
| Bhargava et al. | Comparison of endothelial cell loss and complications between phacoemulsification and manual small incision cataract surgery (SICS) in uveitic cataract | |
| RU2446777C1 (en) | Method of intraocular lens fixation | |
| MD978Z (en) | Method for treating senile cataract | |
| Khan et al. | Visual outcome and complications of manual sutureless small incision cataract surgery | |
| MD581Z (en) | Method of treatment of senile cataract associated with pseudoexfoliative syndrome | |
| MD870Z (en) | Method for treating senile cataract | |
| MD722Z (en) | Device and method for treating senile cataract | |
| MD612Z (en) | Device and method for treatment of senile cataract | |
| MD835Z (en) | Method for treating senile cataract | |
| RU2369366C1 (en) | Method for extracapsular extraction of complicated cataract with high-density lens nucleus with elastic intraocular lens being implanted | |
| RU2708150C1 (en) | Method for surgical treatment of idiopathic epiretinal fibrosis with preservation of foveal fragment of internal limiting membrane | |
| MD1017Z (en) | Method for treating senile cataract | |
| RU2662420C1 (en) | Method for removing intraocular lens |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| FG9Y | Short term patent issued | ||
| KA4Y | Short-term patent lapsed due to non-payment of fees (with right of restoration) |