FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely ophthalmosurgery. For minimally invasive surgery of retinal detachment by time ballooning, a tunnel in the subtenon space is formed in the area of the retinal rupture projection. Balloon is injected into the tunnel and inflated with saline until the sclera pressing bank is formed. Further, after the retina adheres, the patient is seated at the laser unit and the retinal laser coagulation is performed at the edge of the rupture. On day 7, after blocking the rupture edge, the balloon is smoothly deflated and taken out. In the absence of a complete adhesion of retina on the 1st and then on the 2nd day after the balloon is inserted, intravitreal injection of a 100 % concentration gas through the pars plana, in a volume of 0.3 ml, is performed on the 2nd day using an insulin syringe with a needle 29–31G. In case of retinal detachment, if rupture extends from 10 to 2 hours – SF6 gas is injected, if rupture extends from 8 to 10 hours or from 2 to 4 – C3F8 gas is injected, with the delimitation laser coagulation of the retina carried out the next day after the injection of gas. If increased intraocular pressure is detected on the day after the gas injection, then the pressure is reduced before performing the delimitation laser coagulation of the retina by promptly discharging saline out of the balloon in a volume of 0.1–0.3 ml.
EFFECT: method makes it possible to increase the effectiveness of extra-scleral ballooning by injecting gas into the vitreous cavity by achieving a complete adhesion of the retina to the underlying tissues, blocking of the rupture, rapid restoration of visual functions, microinvasivity of the technology as a whole.
3 cl, 2 ex, 1 tbl
