FIELD: medicine.
SUBSTANCE: invention relates to medicine, specifically to ophthalmology. To fix the intraocular lens in the ciliary groove in the absence of capsular support, perform a standard corneal phacoemulsification incision and implantation of the intraocular lens with subsequent fixation of the supporting elements of the lens in the thickness of the sclera in the projection of the ciliary sulcus. Before the implantation of the intraocular lens, in the area of the projection of the ciliary groove in the two opposite meridians, install ports extending for at least 3 mm in the middle layers of the sclera parallel to the limbus with penetration into the ciliary sulcus. Conductor is placed on one arch of the intraocular lens in the form of a tightly fitting silicone tube that extends beyond the end of the arch, after which this haptic element with the silicone tube and the optic element of the intraocular lens are implanted inside the eye. Haptic lens element remaining outside the eye is likewise fixed in the lumen of the second conductor in the form of a tightly fitting silicone tube, after which it is implanted by rotation, using two tweezers inserted through the port and through corneal paracentesis. Alternately, the free ends of the silicone tubes are led out through the ports established in the opposite meridians. Uniformly tighten both tubes, pulling the arch in the ports, after which the ports are removed. Then, the silicone tubes are removed from the arch, leaving the haptic elements of the intraocular lens in the sclera or after removing the ports, the silicon tubes are cut flush with the arches, leaving the haptic elements of the intraocular lens with the tubes in the sclera.
EFFECT: method increases the fixation efficiency of the intraocular lens in the ciliary sulcus by placing the support elements of the lens in the scleral thickness through the ports.
1 cl, 1 ex
Authors
Dates
2018-09-24—Published
2017-11-09—Filed