FIELD: medicine.
SUBSTANCE: method involves cutting conjunctiva along meridians in 1.30, 4.30, 7.30 and 10.30 o'clock positions. Rectangular scleral flaps are formed in 1/3 of sclera thickness. The flaps are thrown away towards the limb and corneal paracenteses are done in each formed scleral flap projection. Scleral paracenteses and subtotal vitrectomy are done. The intraocular lens is moved over retina surface to one of reposition holes above the physiologic optic nerve excavation using vitreotome tip. The vitreotome tip is removed and viscoelastic is introduced into the anterior chamber through one of corneal paracentesis. Micro-hook is introduced through one of scleral paracenteses and its operation part is introduced into the reposition hole to catch supporting member from above with its help through the hole and the intraocular lens is lifted from the eye fundus. Spatula is introduced through corneal paracentesis and the intraocular lens is moved to the anterior chamber through the pupil. Needle and thread are introduced into the sclera in ciliary sulcus projection and dragged through the hole on the supporting member. Needle end is drawn from the eye with thread in reverse movement through corneal paracentesis in 1.30 o'clock position and intercepted with needle holder. Injection needle conductor curved at right angle is introduced as far as 2/3 of its length from piercing edge through formed scleral pocket at 10.30 o'clock position into pupil area to meet curved needle with thread. The thread is brought under the lower surface of the first supporting member, pulled through hole and placed on its upper surface. Conductor needle and curved needle are brought out from eye and thread is conducted in the same way through the hole in the second supporting member. To do it, the thread with curved needle is first fixed on formed bed in 7.30 o'clock position. Its end is brought out from the eye through corneal paracentesis at 4.30 o'clock position. The thread is pulled through a hole in the second supporting member arranging the thread on upper surface of the second supporting member in front of thread part conducted under the lower surface of the first supporting member. Spatula is introduced through corneal paracentesis at 1.30 o'clock position and the intraocular lens suspended on two threads is moved to the posterior chamber through the pupil. The scleral flaps are returned to their original place after having arranged and fixed the supporting members in the ciliary sulcus and conjunctival sutures are placed.
EFFECT: enhanced effectiveness of treatment.
9 dwg
