FIELD: medicine.
SUBSTANCE: invention refers to medicine, namely to ophthalmosurgery. After performing phacoemulsification and detecting in Berger space an irrigation solution with fragments of lens mass, the capsular sac is filled with a cohesive viscoelastic to straighten it. That is followed by microcapsulorhexis in the posterior capsule, linear capsulotomy 1.5–2.0 mm long is made in the center of the posterior capsule using 30G needle. Thereafter, by means of collet tweezers gripping edge is gripped and led along arc in direction of opposite rupture edge for 60°. Movement is then stopped and a new grip is performed with forceps at the point of the opposite edge of the rupture, and is driven along arc through 180° to the place of onset of capsulorhexis formation. Then, the edge of the flap formed at 60°, and bring it to the rupture edge, thus obtaining a microhole in the back capsule. That is followed by aspiration of liquid with lens mass from Berger space through a microhole using a Simco model cannula of diameter 0.6 mm, wherein the cannula is connected to the insulin syringe, and completing the aspiration, restoring the volume of the capsular sac by means of a viscoelastic and implanted in the capsule bag of the IOL.
EFFECT: method enables reducing the probability of breaking the fibers of the tendon of Zinn or Wieger's ligament during implantation of the IOL, as well as damaging the anterior hyaloid, reducing the risk of chronic postoperative inflammation.
1 cl, 2 ex
Authors
Dates
2019-12-03—Published
2019-03-29—Filed