RU2074686C1 - Method to treat glaucoma - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: method is applied by increasing draining area by two drainages. After forming conjunctival and surface scleral fragments and cutting one more triangle fragment from deep scleral layers drainage is implanted placing its proximal end in anterior ocular chamber. Additional hydrogel drainage is applied perpendicular to drainage placing free ends in cyclodialysis spaces. Surface scleral fragment is fixed in four points not less. EFFECT: higher efficiency to treat all stages and forms of glaucoma. 3 dwg

Description

 The invention relates to medicine, more specifically to ophthalmology, and can be used in the surgical treatment of narrow-angle, angle-closure glaucoma, as well as for repeated operations in all forms of glaucoma.

 There is a method of treating secondary glaucoma, which consists in the formation of conjunctival and superficial scleral flaps, removal of the deep scleral layers in the form of a triangle, implantation of drainage, one end of which is placed in the anterior chamber, and the other is laid on the ciliary body at the site of excision of the deep layers of the sclera, performed at the apex excised deep layers of the sclera of cyclodialysis, in the space of which the ends of the drainage are placed, and fixing the superficial scleral flap laid in place.

 The disadvantage of this known method is the lack of effectiveness of the results of the treatment of glaucoma, associated with the deterioration of the outflow of intraocular fluid, which in turn affects the increase in intraocular pressure. This occurs due to the small drainage area, as well as due to a decrease in surface filtration that occurs in cases of increased scarring, which is often found in secondary forms of glaucoma and repeated surgery for glaucoma.

 The invention solves the problem of treating glaucoma by creating a continuous outflow of intraocular fluid in the scleral cavity of the eye and minimizing external filtration.

 The resulting technical result is to increase the effectiveness of the treatment of all forms and stages of glaucoma. This is achieved by increasing the drainage area through the use of two drains, as well as by obtaining a mechanism for circulating intraocular fluid in the scleral cavity of the eye, under which conditions of self-regulation of fluid in the eye are created.

 Moreover, for the outflow of intraocular fluid, vessels of the subchoroid space are widely used.

 Suturing the superficial scleral flap at more than four points does not deform the scleral-corneal membrane of the eye and excludes the development of a cystic pillow and related complications.

 The specified technical result is achieved by the fact that in the method of treating glaucoma, which consists in the formation of conjunctival and superficial scleral flaps, the removal of the deep layers of the sclera in the shape of a triangle, the implantation of drainage, one end of which is placed in the anterior chamber, and the other is laid on the ciliary body at the site of excision of the deep scleral layers, performing cyclodialysis at the top of the deep, deep scleral layers, in the space of which the ends of the drainage are placed and fixing the superficial of the scleral flap, additional drainage is used, which is laid on the first, perpendicular to it at the top of the excised scleral layers, and the free ends of the additional drainage are placed in the spaces of cyclodialysis, while fixing the surface scleral flap is carried out at least at four points.

 In FIG. 1 shows the formation of conjunctival and scleral flaps, excision of a triangular flap from the deep layers of the sclera and the implementation of cyclodialysis; in FIG. 2 implantation of drains; in FIG. 3 stitching.

 A method of treating glaucoma is as follows.

 After anesthesia, a conjunctival flap 1 is formed and it is thrown back onto the cornea. Then form a superficial scleral flap 2 of a rectangular shape at 1/2 the thickness of the sclera with the base to the limb.

 From the deep layers of the sclera, a triangular-shaped flap 3 is excised with the base to the limb. The anterior chamber of the eye is opened at the base of the excised triangular flap 3 to a width of 4 mm. At the top of the excised deep layers of the sclera, the microspatula performs cyclodialysis 4 by 3-4 mm to the left and right without damaging the circular ligament. A hydrogel drainage 5. The proximal end of the drainage 5 is placed in the anterior chamber of the eye on the ciliary body at the site of excision of the deep layers of the sclera. An additional hydrogel drainage 6 is placed perpendicular to it at the top of the dissected layers of sclera. 6. The free ends of the additional drainage 6 are placed in the spaces of the cyclodialysis 4. The surface scleral flap 2 is returned to its original place and is fixed at least at four points, and on conjunctiva impose a continuous seam.

Claims (1)

 A method for the treatment of glaucoma, which consists in the formation of conjunctival and superficial scleral flaps, removal of the deep scleral layers in the form of a triangle, implantation of drainage, one end of which is placed in the anterior chamber, and the other is laid on the ciliary body at the site of excision of the deep layers of the sclera, performing at the apex dissected deep layers of sclera of cyclodialysis, in the space of which the ends of the drainage are placed, and fixing the superficial scleral flap laid in place, characterized in that it is used up to olnitelny drainage, which is laid on the first perpendicular thereto at the top layers of the sclera excised and placed in spaces cyclodialysis free ends of the additional drainage, and the fixing surface the scleral flap is carried on at least four points.

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