FIELD: medicine.
SUBSTANCE: method involves filling anterior chamber with fine dispersed viscous preparation. The crystalline lens is opened by applying anterior capsulorhexis method carried out concentrically with respect to intersection point of optical eye axis with the anterior capsule of displaced crystalline lens. Lenticular mass is evacuated via two paracenteses longitudinally arranged relative to crystalline lens displacement axis. Double-passage cannula having tube for submitting physiologic saline, and tube for allowing free discharge of liquid mixture. The second tube is 2.7-3 mm far from supplying tube on and has twice as large internal diameter. The sum of external tube diameters is proportional to each paracentesis length. Hydrodussection is carried out, introducing cannula via paracentesis from stretched ligaments under anterior capsule. Pulsating physiologic saline supply is carried out, making fanlike movements with the cannula in horizontal plane. Then, the same actions are done, in introducing cannula via the second paracentesis. After having done capsule sack mobilization, the cannula is repeatedly introduced via one of earlier done paracenteses, bringing its distal end into capsulorhexis zone. Capsule sack contents is destroyed with pulsating strokes of physiologic saline and discharged through wide cannula tube outside. The cannula is removed from the eye cavity. Residuals of lenticular fibers and epithelium from back surface of anterior capsule are removed by means of local suction and irrigation. Intraocular lens is implanted into capsule sack and viscous preparation is removed.
EFFECT: enhanced effectiveness of Zinn's ligament protection from damage; prevented liquid inflow into vitreous body; implanted intraocular lens into capsule sack; reduced turbulent flow intensity in the anterior chamber.
3 cl
Authors
Dates
2007-06-27—Published
2005-11-07—Filed