RU2455967C2 - Tip for eyelash thermocoagulation - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to ophthalmology. Tip for eyelash thermocoagulation contains handle and working part. Working part is bent at angle to handle. On the free end of handle coagulating element is placed. Coagulating element is made in form of trihedral pyramid not less than 1 mm long with cutting edges and sharp end. After fixation of eyelash edge of eyelid, it is punctures in projection of bulb of eyelash planned for removal with coagulating element. After that diathermocoagulation of eyelash bulb is performed and specified eyelash is removed. Technical result consists in increase of trichiasis treatment efficiency due to facilitation of free exact puncture of eyelash edge of eyelid with sharp end of coagulating element for further carrying out eyelash bulb diathermocoagulation and removal of eyelash together with bulb.

EFFECT: carrying out procedure by means of tip for eyelash thermocoagulation reduces trauma of performed procedure, reduces possibility of recurrence development, reduces time for surgery performance, does not require great efforts for holding eyelid edge and prevents development of pain sensations in patient.

3 dwg

Description

The invention relates to medicine, namely to ophthalmology, and can be used for thermocoagulation of eyelashes.

A known tip for thermocoagulation of eyelashes (see Operating Instructions and passport for ophthalmic coagulator "SME - 1200", release date 06/25/2008) containing a handle and a working part bent at an angle to the handle with a coagulating element on the free end. The coagulating element is made of a cylindrical shape with a pointed part in the form of a cone. In this case, the non-insulated part of the coagulating element is about 10 mm.

However, the working part of the standard electrode is not sharp enough to freely puncture eyelid tissue with a different degree of density. As a result, the tip can slip from a certain point selected for puncture, which will not ensure that a particular ciliary bulb falls into the region and, accordingly, does not always allow coagulation to be performed qualitatively. This can lead to relapse of trichiasis, which will require a second operation. In addition, when performing the procedure due to the insufficiently sharp end of the working part of the tip, more effort is required to hold the edge of the eyelid, which injures the eyelid tissue and creates pain in the patient. Since the non-insulated end of the working part of the tip is about 10 mm, then with a standard immersion in the ciliary edge of the eyelid to a depth of about 2 mm, the tip causes burns of the eyelid tissues in contact with it.

The present invention solves the problem of developing a new tip for thermocoagulation of eyelashes. The technical result obtained in this case consists in increasing the effectiveness of treating trichiasis by facilitating free accurate puncture of the ciliary edge of the eyelid with the sharp end of the tip for subsequent diathermocoagulation of the ciliary bulb and removal of the eyelash together with the bulb, which reduces the morbidity of the procedure, reduces the likelihood of relapse and reduces the time surgical intervention. The procedure using the proposed tip for thermocoagulation of eyelashes does not require much effort to hold the edge of the eyelid, which reduces the risk of injury and prevents the development of pain in the patient.

The specified technical result is achieved by the fact that in the tip for thermocoagulation of the eyelashes containing the handle and the working part bent at an angle to the handle with the coagulating element at the free end, the coagulating element is made in the form of an uninsulated trihedral pyramid with cutting edges and a sharp end with a length of at least 1 mm.

The invention is illustrated in the drawing, where

figure 1 presents a General view of the tip for thermocoagulation of eyelashes;

figure 2 - remote element I in figure 1;

figure 3 is a section aa in figure 2.

The tip for thermocoagulation of eyelashes contains a handle 1 and a working part 2 bent at an angle to the handle 1. A coagulating element 3 is placed on the free end of the working part 2. Element 3 is made in the form of a trihedral pyramid with a length of at least 1 mm with cutting edges 4 and a sharp end 5.

The tip for thermocoagulation of eyelashes is used as follows.

Under local anesthesia (alkain 0.5% - 2 times), the ciliary edge of the eyelid is fixed with tweezers. In the projection of the bulb, planned to remove the eyelashes, holding the tip for thermocoagulation by the handle 1, puncture with a coagulating element 3 of the working part 2, made in the form of a trihedral pyramid with cutting edges 4 and a sharp end 5 to a depth of 2 mm. Then produce diathermocoagulation of the eyelash bulb and freely remove the necessary eyelash. At the end of the procedure, a tetracycline ointment of 1% is applied.

Clinical examples of the use of the proposed tip for thermocoagulation of eyelashes

1. Patient K., 58 years old. Diagnosis: OD - Trichiasis of the lower eyelid. OU - Initial cataract.

The patient was asked to remove improperly growing eyelashes. To perform the operation under local anesthesia (alkain 0.5% 2 times), the ciliary edge of the eyelid was fixed with tweezers. Holding the tip for thermocoagulation of the eyelashes by the handle 1, in the projection of the bulb, planned to remove the eyelashes, we performed a puncture with the element 3 of the working part 2, made in the form of a trihedral pyramid with cutting edges 4 and a sharp end 5 to a depth of 2 mm. Then, diathermocoagulation of the eyelash bulb was performed and the necessary eyelash was freely removed. Three eyelashes were similarly removed. At the end of the procedure, 1% tetracycline ointment was applied to the places where the eyelashes were removed. The next day, the position of the eyelashes is correct. The eye is calm. After a month, no recurrence of trichiasis was noted.

2. Patient V., 62 g. Diagnosis: OS - Trichiasis of the lower eyelid. OU - Initial cataract.

Under local anesthesia (alkain 0.5% 2 times), the eyelid edge of the eyelid was fixed with tweezers and, holding the tip for thermocoagulation of the eyelashes by the handle 1, punctured with element 3 of the working part 2 of the tip in the projection of the bulb, planned for eyelash removal, to a depth of 0.7 mm Then, diathermocoagulation of the eyelash bulb was carried out, after which they could not be removed, since the “stump” of the eyelashes and the bulb remained in the thickness of the eyelid. Therefore, an additional puncture was carried out with an element 3 made in the form of a trihedral pyramid with a length of at least 1 mm with cutting edges 4 and a sharp end 5, in the projection of the planned bulb to a depth of 2 mm, diathermocoagulation of the eyelash bulb was performed and the necessary eyelash was freely removed. Then, two more eyelashes were removed in the same way. At the end of the procedure, 1% tetracycline ointment was applied. The next day, the position of the eyelashes is correct. The eye is calm. After a month, no recurrence of trichiasis was noted.

Claims (1)

A tip for thermocoagulation of eyelashes, comprising a handle and a working part bent at an angle to the handle with a coagulating element at the free end, characterized in that the coagulating element is made in the form of an uninsulated trihedral pyramid with cutting edges and a sharp end, at least 1 mm long.

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