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 Russian patent published in 2018 - IPC A61F9/07 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, specifically to ophthalmology. For the surgical treatment of glaucoma, perform conjunctival incision, separation conjunctiva and Tenon's membrane from sclera, cutting out the scleral flap by 2/3 of the scleral thickness by the base to the limb, sinus trabeculectomy, forming basal iridectomy, deep sclerectomy, flap closure by interrupted sutures. Cut out the scleral flap with size of 5×5 mm. On the 1/3 of the sclera remaining after cutting out the scleral flap, longitudinal parallel cuts are made from the limbus 5 mm long, thus forming five strips 5 mm long and 1 mm wide each. In this case, the lateral strip is cut out from the ciliary body along the choroid, further under its base, form a fistula in the area of the drainage system of the angle of the anterior chamber of the eye. Before opening the eyeball, corneal paracentesis is performed. In the area of the corneoscleral junction, cut out a tissue block, remove the outer and inner walls of Schlemm's canal, perform basal iridectomy at 12 o'clock, retrieve the iris 1–2 mm up from the sinus and dissect it. Lateral strip of the sclera, which was previously separated, is brought to a depth of 4.5 mm in the anterior chamber. Medial strip is cut from the limbus to the ciliary body and placed in a tunnel formed with a spatula in the suprachorioidal space. Of the remaining three scleral strips, the median is completely separated, exposing the surface of the ciliary body. Remove the outer wall of Schlemm's canal and corneal tissue up to 2.0 mm up from the sinus. With iris-forceps, remove pigment epithelium from the inner wall of Schlemm's canal. Scleral flap is sutured with two interrupted sutures and a continuous suture is applied to the conjunctiva.

EFFECT: method provides a persistent and long-lasting hypotensive effect, a later scarring of the filtration zone by creating additional tracts, including the penetrating outflow tract.

1 cl, 1 ex