SU1597171A1 - Method of determining indications for extracapsular extraction of one-side cataract in case of having healthy eye - Google Patents

Method of determining indications for extracapsular extraction of one-side cataract in case of having healthy eye Download PDF

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SU1597171A1
SU1597171A1 SU874235516A SU4235516A SU1597171A1 SU 1597171 A1 SU1597171 A1 SU 1597171A1 SU 874235516 A SU874235516 A SU 874235516A SU 4235516 A SU4235516 A SU 4235516A SU 1597171 A1 SU1597171 A1 SU 1597171A1
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USSR - Soviet Union
Prior art keywords
cells
extracapsular
cataract
healthy
extraction
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SU874235516A
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Russian (ru)
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Святослав Николаевич Федоров
Элеонора Валентиновна Егорова
Татьяна Евгеньевна Марченкова
Алексей Васильевич Бубнов
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Межотраслевой научно-технический комплекс "Микрохирургия глаза"
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Abstract

Изобретение относитс  к медицине, а именно офтальмологии, и может быть использовано дл  определени  показаний к экстракапсул рной экстракции катаракты при наличии парного здорового глаза. Цель изобретени  - увеличение точности и достоверности исследовани . Провод т определение толщины роговицы и плотности клеток ее заднего эпители . При толщине роговицы менее 0,8 мм, плотности клеток не менее 1600 кл/мм 2 на пораженном глазу и разнице в данных показани х между здоровым и пораженным глазом и соответственно меньше 0,08 мм и 340 кл/мм 2 считают проведение экстракапсул рной экстракции катаракты.The invention relates to medicine, namely ophthalmology, and can be used to determine the indications for extracapsular cataract extraction in the presence of a pair of healthy eyes. The purpose of the invention is to increase the accuracy and reliability of the study. The cornea thickness and cell density of its posterior epithelium are determined. With a cornea thickness of less than 0.8 mm, a cell density of at least 1600 cells / mm 2 on the affected eye and the difference in these indications between the healthy and the affected eye and respectively less than 0.08 mm and 340 cells / mm 2, extracapsular extraction is considered cataracts.

Description

Изобретение относитс  к медицине, конкретнее к офтальмологии, и может быть использовано дл  определени  показаний к экстракапсул рной экстракции односторонней катаракты.The invention relates to medicine, more specifically to ophthalmology, and can be used to determine the indications for extracapsular extraction of unilateral cataract.

Целью изобретени   вл етс  повыщение точности и достоверности исследовани .The aim of the invention is to increase the accuracy and reliability of the study.

Способ осуществл етс  следующим образом .The method is carried out as follows.

Провод т оценку состо ни  заднего эпители  роговицы с помощью контактного зеркального микроскопа на обоих глазах. Методика исследовани  состоит в следующем . После инстилл ционной анестезии 1%-ным раствором дикаина фиксируют голову больного так же, как при исследований на щелевой лампе. Затем к роговице исследуемого глаза подвод т аппланационный цилиндр рабочей части прибора так, что центральна  зона роговицы располагаетс  перпендикул рно к оси наблюдени . С помощью микровинта достигают контакта рабочей части прибора с передней поверхностью роговицы, избега  ее деформации. Регулируют интенсивность освещени , получают четкое изображение клеток заднего эпители  роговицы на исследуемом участке . Плотность клеток заднего эпители  роговицы подсчитывают с помощью компьютерного устройства с фотоотпечатков, негативов или экрана монитора. При этом используют участок определенной величины и соответствующие коэффициенты, приведенные в инструкции к аппарату.The state of the posterior corneal epithelium is assessed using a contact mirror microscope in both eyes. The research method is as follows. After instillation anesthesia with a 1% solution of dikain, the patient's head is fixed in the same way as with a slit lamp. Then, the applanation cylinder of the working part of the device is brought to the cornea of the examined eye so that the central zone of the cornea is located perpendicular to the axis of observation. Using a microscrew, the working part of the device contacts the front surface of the cornea, avoiding its deformation. The intensity of illumination is regulated; a clear image of cells of the posterior corneal epithelium is obtained in the area under study. The density of the cells of the posterior corneal epithelium is calculated using a computer device from photographic prints, negatives, or a monitor screen. At the same time, an area of a certain size and the corresponding coefficients given in the instructions for the device are used.

Одновременно с проведением зеркальной микроскопии учитываетс  толщина роговицы в центральной зоне по показателю кератопахиметра , вмонтированного в зеркальный микроскоп.Simultaneously with the conduct of mirror microscopy, the thickness of the cornea in the central zone is taken into account in terms of the keratopachimeter mounted in the mirror microscope.

Claims (1)

Формула изобретени  Способ определени  показаний к экстракапсул рной экстракции односторонней катаракты при наличии парного здорового гла0 за путем исследовани  структуры глаз, отличающийс  тем, что, с целью увеличени  точности и достоверности исследовани , производ т дополнительно определение толщин роговицы и плотнасти клеток заднего эпители  ее, причем при толщине рого5 вицы менее 0,8 мм, плотности клеток не менее 1600 кл/мм на пораженном глазу и разнице в данных показател х между здоровым и пораженным глазом соответственно менее 0,08 км и 340 кл/мм считают возможным проведение экстракапсул рнойClaims The method of determining indications for extracapsular extraction of unilateral cataracts in the presence of a pair of healthy eyes by examining the structure of the eyes, characterized in that, in order to increase the accuracy and reliability of the study, the cornea thickness and density of the posterior epithelium cells are additionally determined the thickness of the pigment is less than 0.8 mm, the cell density is not less than 1600 cells / mm in the affected eye and the difference in these indices between the healthy and the affected eye is correspondingly less 0.08 km and 340 cells / mm consider extracapsular possible. 00 экстракции катаракты.cataract extraction.
SU874235516A 1987-04-24 1987-04-24 Method of determining indications for extracapsular extraction of one-side cataract in case of having healthy eye SU1597171A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
SU874235516A SU1597171A1 (en) 1987-04-24 1987-04-24 Method of determining indications for extracapsular extraction of one-side cataract in case of having healthy eye

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
SU874235516A SU1597171A1 (en) 1987-04-24 1987-04-24 Method of determining indications for extracapsular extraction of one-side cataract in case of having healthy eye

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SU1597171A1 true SU1597171A1 (en) 1990-10-07

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SU874235516A SU1597171A1 (en) 1987-04-24 1987-04-24 Method of determining indications for extracapsular extraction of one-side cataract in case of having healthy eye

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Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
Шмелева В. В. Катаракта. — М.: Медицина, 1981, с. 202. *

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