FIELD: medicine.
SUBSTANCE: method involves making conjunctiva incision and cutting out trapezoid graft taking 1/2-1/3 of sclera layer thickness with corneoscleral zone and cornea being caught. The greater flap base is turned towards limb. After having bent up scleral flap over cornea, lanceolated knife is introduced into its internal part to a depth of 1/2-1/3 of superficial scleral flap thickness, 1.0-1.5 mm far from the greater base. Knife blade is moved further into the flap thickness towards the cornea, leaving the limb aside, and introducing it into cornea stroma 1.0 1,5 mm further than vascular arcades and the anterior chamber is opened. Corneal paracentesis is carried out. Continuous anterior circular capsulorhexis is carried out and phacoemulsification is carried out through self-sealing tunnel incision produced in the described way and intraocular lens is implanted. Superficial scleral flap is bent up scleral flap over cornea and incision in deep sclera layers is done 0.4-0.5 mm far from superficial scleral flap zone borders towards inside. Deep sclera layers are stratified to 3/4-4/5 of depths towards the limb with cornea being caught and deep scleral flap removed with trabecular Descemet membrane being exposed. External trabecular wall and juxtacanalicular tissue are removed. The superficial scleral flap is returned to its place after having controlled chamber moisture filtration. The superficial scleral flap edges are fixed in smaller base angles with two interrupted sutures. Two interrupted sutures 8/0 are placed on conjunctiva near the limb. Antibiotic solution with Dexazone is introduced under the conjunctiva.
EFFECT: enhanced effectiveness of treatment; stable and prolonged intraocular pressure compensation; prevented high intraocular fluid filtration and hypotonia by changing surgical incision structure and fixing superficial flap with suture; prevented intraoperative wound decapsulation, postoperative hypotonia astigmatism recurrence.
2 cl, 3 dwg
