FIELD: medicine.
SUBSTANCE: method involves performing a vitrectomy with removing a posterior hyaloids of a vitreous body, and a laser retinal endocoagulation at wave length 532 nm, emitting power 120-200 mWt, pulse length 0.1-0.2 s, spot diameter 150-200 mcm. A chorioretinal venous anastomosis (CRVA) is induced by exposing the branches of the central vein of the retina to the third-order laser light at wave length 532 nm in a number of 4 coagulated, emitting power 500 mWt, pulse length 1 sec and spot diameter 50 mcm. The vitrectomy is preceded by the intramuscular injections of 12.5% etamylate 4ml and the intravenous administration of 0.5% tranexamic acid 1 g 25-30 minutes before. That is followed by the droplet intravenous administration of an infusion solution containing 0.1% perlinganit 10 ml in 0.9% normal saline 100 ml at an initial rate of 5 mcg/min. The area to be exposed to laser is specified at least in 3 diameters of the disk from the optic disk. The third-order laser applications are applied on the branches of the central vein of the retina in a number from 2 to 4 at wave length 532 nm, emitting power 300-400 mWt, exposure 0.5 s, spot diameter 500 mcm in two points in the proximal and distal direction from the CRVA induction point. Immediately before the CRVA induction, a salt-water infusion flow is increased until the central retinal artery starts pulsating. The surgical management is completed by plugging the vitreal cavity with 20% air-gas mixture SF6.
EFFECT: effective management of the clinical course of the retinal venous thrombosis by considerable reduction of postoperative haemophthalmias.
2 ex
Title | Year | Author | Number |
---|---|---|---|
METHOD OF TREATMENT OF CENTRAL VEIN THROMBOSIS OF RETINA | 2007 |
|
RU2346678C1 |
METHOD OF TREATING PROLIFERATIVE DIABETIC RETINOPATHY COMPLICATED BY HAEMOPHTHALMIA WITH USING INTRAOPERATIVE FLUORESCEIN ANGIOGRAPHY | 2013 |
|
RU2553510C1 |
METHOD OF LASER SURGICAL TREATMENT OF FOCAL CHORIORETINITIS | 2011 |
|
RU2455968C1 |
METHOD OF SURGICAL TREATMENT OF THE RETINAL HAEMANGIOMA CAPILLARY | 2017 |
|
RU2666690C1 |
METHOD OF TREATING BENIGN RETINAL INTRAOCULAR FORMATIONS | 2019 |
|
RU2716484C1 |
METHOD OF TREATING HEMOPHTHALMIA | 2009 |
|
RU2422120C1 |
METHOD FOR SURGICAL TREATMENT OF THROMBOSIS OF CENTRAL RETINAL VEIN | 2006 |
|
RU2308918C1 |
METHOD OF MICROINVASIVE COMBINED LASER SURGICAL MANAGEMENT OF LOCAL RHEGMATOGENOUS RETINAL DETACHMENT AS A RESULT OF VALVE RUPTURE IN THE PRESENCE OF PARTIAL HEMOPHTHALMIA | 2019 |
|
RU2712392C1 |
METHOD FOR COMBINED SURGICAL TREATMENT OF PROLIFERATIVE DIABETIC RETINOPATHY AND CATARACT | 2024 |
|
RU2826424C1 |
METHOD FOR SURGICAL TREATMENT OF PROLIFERATIVE DIABETIC RETINOPATHY COMPLICATED BY HEMOPHTHALMOS AND TRACTION RETINA DETACHMENT | 2020 |
|
RU2729031C1 |
Authors
Dates
2015-06-10—Published
2014-02-14—Filed