FIELD: medicine.
SUBSTANCE: invention relates to field of medicine, namely to ophthalmic surgery, and can be used in treatment. Access to anterior chamber is formed, viscoelastic is introduced with further dissection of trabecule with cutting instrument under direct gonioscopic control. Dissection of trabecule is performed in discontinuous way, for which purpose dissection of trabecule on length 1-1.5 mm is alternated with non-dissected section 1-1.5 mm long, as cutting instrument, used is trabeculotome in form of spatula with lateral double-edged cutting edges and blunt distal end in form of arch with smoothly rounded facets, which is brought into ciliary canal until distal end rests against external wall of canal, and without losing said contact movement on arch-shaped trajectory is performed with dissection of trabecule, after which, without changing trabeculotome position, it is used to perform pressing movement towards posterior edge of ciliary canal, widening ciliary canal opening, operation is finished by introduction into anterior chamber of BSS solution to hypertone.
EFFECT: method allows to normalise intraocular pressure with lower number of hemorrhagic complications, with high vision acuity in early post-operational period.
3 cl, 1 dwg, 3 ex
