FIELD: medicine.
SUBSTANCE: invention relates to the field of medicine, in particular, to ophthalmology. For transcleral fixation of the artificial iridolenticular diaphragm (ILD) in dislocation and decentration thereof in patients with aniridia and aphakia, in the lower outer segment of the eyeball at 8 o'clock, 1.5 mm lateral to the limb, a first end of a double needle with a non-absorbable thread is inserted. The thread is led parallel to the plane of the ILD, under the base thereof, to the opposite point - to the place of exit of this end of the needle 1.5 mm lateral to the limb, at 4 o'clock. Next, the second end of the double needle is inserted in the upper outer segment of the eyeball at 10 o'clock, 1.5 mm lateral to the limb, and the thread is led parallel to the plane of the ILD, under the base thereof, followed by the exit of the second end of the double needle at the opposite point, 1.5 mm lateral to the limb, at 2 o'clock. Both ends of the thread are then tied into a loop suture at 2 o'clock, at the point of exit of the second end of the thread. Then, in the lower inner segment of the eyeball, 1.5 mm distal to the limb at 5 o'clock, a first end of the second double needle with a non-absorbable thread is inserted, and the thread is led parallel to the plane of the ILD, above the base thereof, to the opposite point, the point of exit of the first end of the needle 1.5 mm distal to the limb at 1 o'clock. Then, the second end of the second double needle is inserted in the lower outer segment of the eyeball 1.5 mm distal to the limb, at 7 o'clock, and the thread is led parallel to the plane of the ILD, under the base thereof to the opposite point, the place of exit of the second end of the needle, 1.5 mm distal to the limb at 11 o'clock. Both ends of the thread are then tied into a loop suture at 11 o'clock, at the point of exit of the second end of the thread.
EFFECT: method ensures stable fixation of the ILD, eliminates future displacement thereof, reduces the risk of inflammatory reactions in the postoperative period, and preserves the visual functions.
1 cl, 1 dwg, 3 ex
