METHOD FOR PERFORMING MINIMALLY INVASIVE DEEP SCLERECTOMY Russian patent published in 2015 - IPC A61F9/11 

FIELD: medicine.

SUBSTANCE: conjunctival incision is made. A surface scleral flap is formed. A deep scleral flap is formed, and a ciliary body is exposed at its apex. The deep scleral flap is excised. The surface scleral flap is placed back. A hydrogel drain tube 2×3 is placed under the surface scleral flap into the formed intrascleral cavity backwards the scleral spur in parallel with the limb to fill the intrascleral bed. A distal end of the drain tube is immersed into a scleral coloboma between the ciliary body and sclera. The scleral flap is fixed with one interrupted suture in the centre. That is followed by making a corneal 3-o'clock paracentesis, which is used to fill an anterior chamber with RROVISK viscoelastic 0.2 ml by means of a cannula. Healaflow drainage implant 0.1-0.2 ml is administered by means of the cannula into the subconjunctival space. The conjunctival incision is sealed with uninterrupted suture.

EFFECT: method provides creating the intrascleral passages for intraocular fluid outflow by using the hydrogel drainage of optimum size, as well as preventing excessive filtration, ensures the smooth intraoperative and early postoperative stabilisation of intraocular pressure and hydrodynamics by administering Healaflow drainage implant into the subconjunctival space and preventing milling the anterior eye chamber, contacting the iris root and the anti-glaucomatous surgery by filling the anterior eye chamber with PROVISK viscoelastic.

2 dwg, 2 ex