FIELD: medicine, ophthalmology.
SUBSTANCE: after installation anesthesia, a Goldman contact lens is installed on the eye and prophylactic laser coagulation of the retina (RLC) is performed in manual or pattern mode, around the entire circumference of the fundus periphery, with the application of coagulates of the 2nd degree of intensity. A single impulse in 2–3 rows or a matrix quadratic pattern 2×2 or 3×3 points is used at a distance of two diameters from each other, with the following parameters: power 100–300 mW, spot diameter — 100–300 microns, exposure — 0.05–0.15 s. One month after RLC, phacoemulsification is performed with implantation of an intraocular lens (IOL).
EFFECT: method makes it possible to create strong chorioretinal adhesions during prophylactic LCS, strengthen and stabilize the retina in the correct anatomical position, reduce the risk of development and progression of dystrophy, formation and occurrence of retinal tears, retinal detachment and vitreous hemorrhage in the early and late postoperative period.
1 cl, 4 ex
