FIELD: ophthalmology.
SUBSTANCE: method includes cutting out a conjunctival and superficial scleral flap with its base towards the limbus and a thickness of 2/3 of the sclera thickness. At the 2 clock position, a triangular superficial scleral flap is cut out via the limbal zone. 5-fluorouracil is applied in the subconjunctival zone and under the superficial scleral flap. The top of the scleral flap is fixed to the sclera with an interrupted suture, Provisc is introduced under the superficial scleral flap. Then, at the 9 clock position, paracentesis is performed, a viscoelastic is introduced into the anterior chamber, and perforative coagulates are formed ab interno using high-frequency diathermy in the projection of the base of the scleral flap in the corner of the anterior chamber until filtration of the intraocular fluid appears. At the same time an application of 5-fluorouracil is carried out for 4 minutes.
EFFECT: method reduces the risk of small anterior chamber syndrome, ciliochoroidal detachment, hyphema against the background of preventing the cicatricial processes in the intervention area due to a combination of two approaches to the trabecular zone.
3 cl, 2 dwg
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Authors
Dates
2023-02-28—Published
2022-06-02—Filed