FIELD: medicine.
SUBSTANCE: invention refers to medicine, namely to ophthalmology. Inhalation of inconsistent keratotomy scar (IKS) is performed and suture is applied on cornea. First, epithelial scarification within IKS is performed. Continuous U-shaped suture is formed. If two IKS are located nearby, then needle and needle prick-in is made, deviating from the center of cornea by 7–8 mm and from lateral edge of one of IKS by 0.5–0.8 mm, thread is passed through this IKS in thickness of stroma of cornea. Needle is pricked out through the edge of the second IKS located laterally to the first IKS, deviating 0.5–0.8 mm from the edge. Then prick-in is made on the side prick-out, in parallel to IKS, 2–3 mm from prick-out. Suture is inserted in the thickness of the cornea stroma, prick out is made on the side of the first prick-in symmetrical to the second prick-in. Then the ends of the thread are tied, the rest of the thread is cut, the knot is immersed in the stroma of the cornea. If the number of adjacent IKS is greater than two, the needle with the thread is pricked in from the center of cornea at 7–8 mm and from the lateral edge of one of the outermost IKS – the first IKS by 0.5–0.8 mm, the suture is threaded through this IKS in thickness of stroma of cornea. Needle is pricked out through the edge of the second IKS located medially to the first IKS. Then prick-in is carried out through lateral edge of second IKS, pass in thickness of stroma of cornea and prick out is done through medial edge of next IKS, and prick-in through lateral edge of same IKS. Such alternation of prick-in and prick-out is performed sequentially and irrespective of the number of IKS, in the terminating IKS prick out is made at 0.5–0.8 mm from the edge of IKS, located laterally in relation to the previous IKS, and the prick is made on the side prick-out, parallel to IKS, 2–3 mm from it. Then said sequence of actions is repeated in reverse order to the first IKS. Final prick-out is made through the lateral edge of the first IKS, retreating 0.5–0.8 mm from edge and 2–3 mm from the very first prick-in. Then the ends of the thread are tied, the rest of the thread is cut, the knot is immersed in the stroma of the cornea.
EFFECT: method enables reducing the risk of depressurization and emptying of the anterior eye chamber in case of corneal injuries.
1 cl, 4 ex, 3 dwg
