METHOD OF TREATING CONGENITAL REFRACTORY GLAUCOMA IN CHILDREN Russian patent published in 2024 - IPC A61F9/07 A61F9/08 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to ophthalmology. First stage involves transscleral diode-laser cyclophotocoagulation in micropulse mode (mCPC), cyclically at 4 mm from the limb, with power of 2,000 mW, duty cycle of 31.3%, pulse duration of 0.5 ms, period of 1.1 ms, wherein the probe slides along a circular arc of 180 degrees in the lower and upper hemispheres of the eyeball; the exposure per cycle is 10 s. First exposure cycle is performed along the circular arc of the lower hemisphere in one direction, then the second cycle along the same circular arc in the opposite direction. Subsequent cycles are carried out similarly to the first two, total of 6 cycles are carried out, avoiding zone at 3 and 9 o'clock, a month after the mCPC, a goniotomy is started, for this purpose, a stiletto is used to produce a self-sealing corneal paracentesis with subsequent introduction of a viscoelastic into an anterior chamber of an eye. Then gonioscope-controlled segmental dissection of goniosynechia is performed for at least 4 hours, then viscoelastic is washed out from anterior chamber, corneal paracentesis is sealed.

EFFECT: method allows reducing production of intraocular fluid and improving its outflow.

1 cl, 1 ex