SU1410973A1 - Method of treatment of acute vascular pathology of the eyes - Google Patents

Abstract

The invention relates to medicine, more specifically to ophthalmology, intended for the treatment of acute vascular eye pathology. The purpose of the invention is the restoration of visual functions. For this, an ordinary metal needle up to 40 mm long with an internal diameter of 0.3 mm with a mandrel up to 0.3 mm in diameter, to a depth of 3.5-4 cm towards the orbit base is inserted into the lower-outer corner of the orbit. . The needle mandrel is withdrawn, leaving its end in the retro-tabloid space, along the mandrel insertion a soft PVC catheter with an inner diameter of 0.35 mm and an outer diameter of 0.6 mm. The mandrin is removed. Through the catheter, 5 ml of the cooled p-ra streptodekazy are injected. A thin needle electrode is inserted into the lumen of the catheter. An electrode bath with 0.5% emoxipin solution is installed on the anterior segment of the eye block. The electrophoresis apparatus is switched on with a current of 1 mA. The cathode is a retrobulbar electrode, and the anode is a tubular electrode. Electrophoresis was carried out for 10 minutes. The catheter and electrodes after the procedure are removed. (ABOUT (/

Description

The invention relates to medicine, namely to ophthalmology, and can be used for the treatment of acute vascular eye pathology.

The purpose of the invention is the restoration of visual functions.

Example. Patient L., 63 years old. Diagnosis: thrombosis of the upper temporal branch of the central retinal vein, hemorrhage into the vitreous body of the right eye. Date of entry: 11.28.83. It notes that 11.28.83 noticed a sharp decline in the vision in the right eye.

He turned to the clinic of the Moscow Research Institute of Eye Diseases Helmholtz, urgently hospitalized. When entering visual acuity - 0.08. Extensive hemorrhage in the vitreous body, details of the fundus of the eye are not visible. 30 minutes after the intake, they were treated according to the proposed method. An ordinary metal needle with a length of up to 40 mm and an internal diameter of 0.3 mm with a mandrel of up to 0.3 mm in diameter to a depth of 3.5–4 cm toward the orbit base was inserted into the lower-outer corner of the orbit. The needle along the mandrin was removed, leaving its end in the retrobulbar space, along the mandrin they introduced a soft PVC catheter with an inner diameter of 0.35 mm, an outer 0.6 mm, the mandrin was removed. Through the catheter, 5 ml of a cooled solution of streptodekazy were injected. A thin needle electrode is inserted into the lumen of the catheter. In parallel, an electrode bath with 0.5% emoxipin solution was installed on the anterior segment of the eye block. An electrophoresis apparatus with a current of 1 mA was turned on. In this case, the retro-bulbar electrode served as the cathode, and the bath anode. Through the irrigator in the retro-bar space drip with speed

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five

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five

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2 ml / min was fed chilled sintertodekazy solution. Electrophoresis was continued for 10 min. The catheter and electrodes were removed after the procedure. The patient tolerated the procedure well. There were no complications. The procedure was repeated three times with an interval of 1 day.

For each procedure, 20 thousand FEUs of steptodecases, diluted in 20 ml of an isotonic solution of sodium chloride, and 0.5% aqueous solution of emoxipin 5 ml were taken. The solution of streptodekazy was preliminarily cooled in the apparatus "Hypotherm-4" to 10 ° C.

At discharge, visual acuity - 0.7. There is no hemorrhage in the vitreous. The fundus of the eye: the optic nerve disc is pale pink with almost clear boundaries, the upper temporal branch of the central retinal vein is slightly crimped, and there are no hemorrhages along its course. 1.5 months after treatment, visual acuity is 0.8.

Compared with the known method, the proposed method allows to achieve a more complete restoration of visual functions in patients with acute vascular eye pathology.

Claims (1)

Invention Formula A method of treating acute vascular pathology of the eye by bath electrophoresis and retrobulbar administration of drugs, characterized in that, in order to restore visual functions, a catheter is guided into the retrobulbar space, in which a cooled solution of the drug and an electrode are subsequently introduced and followed by one-time implementation cross electrophoresis.