RU1771727C - Method of ophthalmic nerve atrophy treatment 9240, ,0186 method of medical treatment of lower eyelid reversing 9240, ,0187 method of forming anastomosis in darcryocystitis - Google Patents

Abstract

Usage: in medicine, namely in ophthalmology. The entity uses an allograft for retroscleroplasty as an allograft, which is inserted into the posterior pole of the eye in the form of an injection and additionally massage the ocular block in circular directions. The positive effect, the method has minimal trauma (under instillation anesthesia, the conjunctiva and tenoia membrane are cut not more than 2 mm), sterilization reliability (gamma irradiation) and convenient allograft packaging (hermetically-sealed ampoules), ease of allograft preparation (dilution) in 2.0 ml of physiological saline with the addition of 0.1-0.2 ml of a solution of dexazone) and its administration (through a needle bent along the curvature of the eye block, a suspension of an allograft from a syringe is introduced into a tenon space in the immediate vicinity of the optic nerve), the short duration of the entire manipulation (on average 5 min), the absence of reactive inflammation after the intervention (no edema of the eyelids, conjunctiva, hemorrhage, which is often observed after scleroplastic surgery), safety (no risk of intraoperative complications), the possibility of carrying out it on an outpatient basis, and most importantly - the effectiveness of the operation, which consists in improving visual functions (visual acuity, visual field, color perception) in patients E with atrophy of the optic nerve of various genesis. 1 ill. sl c

Description

The invention relates to medicine, and more particularly to ophthalmology, and can be used to treat optic atrophy.

The closest in combination of features is a method of treating optic atrophy, which consists in separating the conjunctiva and tenon membrane from the sclera, forming a tunnel between the sclera and subconjunctival tissues towards the optic nerve and introducing a donor scleral allograft. technical result. related: ischemic tissue of the anterior segment of the ocular block, retina as a result of diathermocoagulation ry, using donor scleral graft.

The technical result obtained by the implementation of the proposed method is to reduce the morbidity.

The essentiality of the method is as follows. As an allograft, a retroscleroplasty Allograft is used, which is injected to the posterior pole of the eye

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and further massage the ocular block D of circular directions.

Salient features of the present invention: an injection to a posterior pole of a suspension of biological tissue uniformly distributed by massage in the shade space, a decrease in the section of the conjunctival and tenon sheath, allows to obtain a new technical result, namely, a decrease in trauma; in addition, visual functions and color perception are improved.

The invention is carried out as follows (Fig. 1). Under local anesthesia in the upper-outer quadrant of the ocular block (1), indented 7 mm from the limbus, the conjunctiva and tenon membrane (2) are cut in size no more than 2 mm, a curved needle with a blunt needle is inserted through it to the optic nerve (3) end (4), the Allograft for retrosclerotherapy (5) is diluted and inserted through the needle to the posterior pole of the eye, then the needle is removed, one nodal suture is applied to the incision, and the eye block is massaged in circular directions for 3 minutes.

PRI me R 1, Patient P., 19 years. Diagnosis: atrophy of the optic nerves in both eyes. At the age of 9, he suffered a head injury.

The visual acuity of the right eye is a light sensation with the correct projection of light. Visual acuity of the left eye - zero The right eye distinguished between white and blue.

With ophthalmoscopy, the optic nerve discs are white, flattened, with clear boundaries.

The patient underwent surgery on the right eye according to the proposed method by introducing to the posterior pole of the eye Allograft for retroscleroplasty was filled in suspension

A week later, an operation was performed on the left eye according to the proposed method. The postoperative period was uneventful.

Visual acuity after surgery: the right eye is 0.01, the left eye is light perception and hand movement in the face. The left eye began to distinguish between white and blue.

With ophthalmoscopy, a slight pinking of the optic discs was noted.

both eyes.

PRI me R 2. Patient I., 14 years old. Diagnosis: partial atrophy of the optic nerves of both eyes.

Visual acuity of both eyes 0.2. On the fundus there was a sharp blanching of the temporal halves of the discs. In the study of peripheral vision, a concentric narrowing of the boundaries of the visual field of the left eye and sectoral narrowing in

combined with concentric right eye.

The operation according to the proposed method was performed by introducing an Allograft to the posterior pole of the left eye for

retrosclerotomy in the form of a suspension, suturing and massage of the ocular block in circular directions. A week later, the operation was performed on the right eye. The postoperative period was uneventful

complications.

The day after the intervention on the left eye, the visual acuity of both eyes is 0.3. Two days later, the visual acuity of the right eye returned to the original - 0.2; pungency

vision of the left eye -0.3. After the intervention on the right eye, the visual acuity of both eyes is 0.35. The visual field of both eyes expanded (12 meridians in total) of 1 right eye - by 337 degrees, left eye by 124 degrees.

Claims (1)

Four months after surgery, the visual acuity of both eyes was 0.35. SUMMARY OF THE INVENTION Method for the treatment of visual atrophy nerve, including the use of an allograft, characterized in that, in order to reduce the traumatic ™ method, an allograft for retrosclerotherapy is used as an allograft, which is injected to the posterior pole of the eye and additionally massage the ocular block in circular directions.