METHOD FOR CLOSING VERTICAL THROUGH WOUND OF EYELID WITH INJURED MARGIN Russian patent published in 2014 - IPC A61F9/00 A61F9/07 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to ophthalmology, and can be used for closing vertical through eyelid wounds with an injured margin. That is ensured by placing a round convex-concave plate on the eyeball under the eyelids. The plate diameter makes 16 mm, the central thickness is 2 mm, and the surface curvature is equal to the eyeball curvature. A projection passing through its centre is arranged on the convex side of the plate. The projection width and height make 2 mm. The projection height drops to zero as far as approaching the plate edges. Two symmetrical slots 2 mm wide and 1.5 mm deep are arranged in the centre of the projection. The slots are inclined to each other so that from one side of the projection, the distance between the slots makes 1 mm, and from the other side - 2 mm. The plate is placed so that to arrange the projection along the eye fissure. The greater side between the projection slots is arranged to face the injured eyelid. Then, a monofilament non-absorbable suture is applied. The needle is pricked into the skin of the intact eyelid, and pricked out in the intermarginal space of the same eyelid. The suture is delivered along the axis of one of the slots. The needle is further pricked in through the intermarginal space of the injured eyelid to the outside from the wound edge. The needle is pricked out through the wound surface of the tarsus. The 8-shaped suture is brought through in the plane of the tarsus through both sides of the wound. The needle is pricked out from the intermarginal space of the injured eyelid symmetrically to the prick-in on the opposite side of the wound. The suture is delivered along the axis of the second slot. The needle is pricked in into the intermarginal space of the intact eyelid. The needle is then brought out onto the skin so that the suture ends intersect. The plate is removed. The suture is tightened up with long ends left. The musculocutaneous wound is closed with interrupted sutures and the eyelids margins are tightly put together by means of the long ends of the sutures. They are attached to the skin with a plaster.

EFFECT: method provides the simpler and faster wound closure, with forming no granulomas in its thickness, reducing a risk of forming microcolobomas along the eyelid margin with minimum injuries of the eyelid tissue.

1 ex, 9 dwg