FIELD: medicine.
SUBSTANCE: invention refers to medicine, namely to ophthalmology, and aims at surgical management of glaucoma. Essence of invention: cut out surface scleral flap size 4×4 mm, entering into transparent corneal layers by 0.8–1.0 mm, deep scleral flap is formed with apex projecting beyond edge of surface flap by 1–1.5 mm, before laying of the superficial scleral flap, the intrascleral bed is filled with "Provisk" cohesive viscoelastic or "Dubrovsk" combined viscoelastic. A superficial scleral flap is laid without suture fixation, the conjunctiva is closed with two interrupted sutures, then, deviating from the edge of the superficial scleral flap by 3–4 mm, using syringe introducing 0.2–0.3 ml of mixture containing 5-fluoruracil and dexamethasone, taken in ratio 1:4, wherein to suppress the propagation of the cytostatic in the undesired regions, a stump is applied and retained.
EFFECT: obtaining a stable antihypertensive effect, reducing a scarring risk, as well as reducing a complication rate after administering cytostatic agents.
3 cl, 2 ex
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Authors
Dates
2019-07-04—Published
2018-07-19—Filed