FIELD: medicine.
SUBSTANCE: invention relates to field of medicine, namely to ophthalmology, and is intended for protection of macular region from spread of superior retinal detachment. If ruptures of fresh detachment of patient's eye retina are located in zone from 8 to 4 o'clock, first puncture of eye sclera and flat part of ciliary body with needle 30-25G in 3-4 mm from limb in the area where retinal rupture is located, is performed. After that, ophthalmologic expanding gas Sulfurhexafluoride (SF6) is introduced intro vitreal cavity through syringe, administered single dose of gas introduction is in the range 0.1 - 0.7 ml. After that, near limb, according to 9-10 o'clock meridian, 0.5-1.5 mm wide paracentesis of cornea and following partial, to normalisation of ophthalmotone, drainage of subretinal fluid are carried out. Then, in order to bring together edges of puncture of conjunctiva and sclera massage in the area of puncture is performed by means of sterile micro-swab. After that, patient is put in "face down" position for 3-12 hours. Then, patient is brought into position, in which retinal rupture is above, for 2-3 hours. Ophthalmoscopic control of retina fitting is carried out. In case of complete retina fitting, laser coagulation of rupture is performed, in case, if detachment of retina remains, further surgical treatment is performed in delayed, planned manner. Spread of retinal detachment is prevented by means of gas bubble, formed preliminarily introduced gas and transferred into zone of detachment by carrying out said procedure of selecting patient's position.
EFFECT: method ensures protection of macular area from spread of fresh superior retinal detachment, and in this way change of urgent surgical treatment into planned one, and in some cases elimination of further surgical treatment.
2 cl, 2 ex
