FIELD: medicine.
SUBSTANCE: invention refers to ophthalmosurgery and can be used for treating glaucoma. A bridle suture is applied on a superior rectus muscle. A conjunctive is incised in parallel to a limb. A conjuctival flap with its base to the limb is separated. A superficial scleral flap is separated to a corneal portion of the limb by 1.0mm into transparent corneal layers with its base to the limb. A retention suture is applied on a flap apex. A deep scleral flap is separated together with an outer wall of a Schlemm canal and a flat corneoscleral tisse and removed. A U-incision of the sclera is made in a distal end from a scleral spur on the periphery of the intrascleral bed with its pedicles not reaching the scleral spur. An endothelial layer of the Schlemm canal with a juxtacanalicular tissue is removed. A microspatula is used to extend intertrabecular slots, and a space between the corneoscleral and uveal trabecules are approached to create thereby a tunnel with a meridian portion of a ciliary muscle to the equatorial side, and passages to the intermuscular slots are opened. A suture needle is inserted into the newly formed space and pricked out at 1.0-6.0mm from the sclera spur that is followed by pricking in and out twice on the periphery of the intrascleral bed, wherein an antiglaucomatous drain tube is placed. Criss-cross sutures are applied with fixing the drain tube simultaneously. Two tight interrupted sutures are applied on the superficial scleral flap.
EFFECT: method provides the stable antihypertensive effect.
2 ex
Title | Year | Author | Number |
---|---|---|---|
METHOD OF TREATING OPEN-ANGLE GLAUCOMA | 2007 |
|
RU2394534C2 |
METHOD FOR SURGICAL TREATMENT OF GLAUCOMA BY RESECTION OF SCLERA | 2015 |
|
RU2587856C1 |
SURGICAL TREATMENT OF GLAUCOMA USING THE METHOD OF SINUS TRABECULECTOMY WITH BASAL IRIDECTOMY IN COMBINATION WITH DEEP SCLERECTOMY AND ACTIVATION OF UVEOSCLERAL TRACT WITH AUTOSCLERA | 2017 |
|
RU2674088C1 |
METHOD OF SURGICAL TREATMENT OF OPEN-ANGLE GLAUCOMA | 2023 |
|
RU2812177C1 |
METHOD FOR COMBINED SURGICAL TREATMENT OF GLAUCOMA IN COMBINATION WITH CATARACT | 2016 |
|
RU2612525C1 |
METHOD FOR SURGICAL MANAGEMENT OF GLAUCOMA WITH MINIMALLY INVASIVE SPONGE DRAINAGE OF ANTERIOR CHAMBER | 2013 |
|
RU2533987C2 |
SURGICAL METHOD FOR TREATING THE CASES OF OPEN ANGLE GLAUCOMA | 1999 |
|
RU2180539C2 |
SURGICAL METHOD FOR TREATING REFRACTORY GLAUCOMA CASES | 2005 |
|
RU2297815C1 |
SURGICAL METHOD FOR TREATING THE CASES OF OPEN ANGLE GLAUCOMA | 2000 |
|
RU2201734C2 |
SURGICAL METHOD FOR TREATING THE CASES OF OPEN ANGLE GLAUCOMA | 2002 |
|
RU2231343C1 |
Authors
Dates
2014-12-20—Published
2012-12-27—Filed