FIELD: medicine.
SUBSTANCE: invention refers to medicine, namely to ophthalmosurgery. Performing implantation of a three-part S-shaped intraocular lens (IOL) with suture fixation to the iris on the eyes in the absence of capsular support. Lens is implanted through a tunnel incision with insertion of haptic elements under the iris with subsequent suturing to it. When implanting the IOL, the first haptic element is brought under the iris, and the second is left in the tunnel incision. Then a spatula is brought under the optical part of the IOL and pressed upwards, contouring the outline of the first haptic element opposite the tunnel incision on the iris. Thereafter, the suture needle is used to suture the first haptic element through the iris, leaving the needle in the prick-in/prick-out points. Then the second haptic element is brought through the tunnel incision into the anterior chamber and further under the iris, with the optical part of the IOL positioned above the iris; the suture needle is completely pricked out; while the optical part of the IOL is supported and pressed with a spatula, the second haptic element is pierced to the iris. After that, the suture ends are dissected and brought out into the incisions in the projection of the haptic elements, and after the knots are formed, the optical part is brought under the iris.
EFFECT: method enables eliminating the occurrence of operational complications, increasing the effectiveness of the surgical exposure, as well as reducing the risk of intraoperative dislocation of the IOL into the vitreal cavity when manipulating the IOL during suture fixation to the iris.
1 cl, 2 ex
Authors
Dates
2024-10-14—Published
2024-02-21—Filed