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专利概况
专利名称 REPOSITION AND ANCHORING METHOD OF A TORIC INTRAOCULAR LENS, DISLOCATED WITH A CAPSULAR SAC OR WITHOUT CAPSULAR SUPPORT
申请号 RU2018131183 申请日
公开(公告)号 RU2689022C1 公开(公告)日
申请(专利权)人 Federalnoe gosudarstvennoe avtonomnoe uchrezhdenie "Natsionalnyj meditsinskij issledovatelskij tsentr "Mezhotraslevoj nauchno tekhnicheskij kompleks "Mikrokhirurgiya glaza" imeni akademika S N Fedorova" Ministerstva zdravookhraneniya Rossijskoj Federatsii 发明人 Tutaev Dmitrij Borisovich; Kopaev Sergej Yurevich; Burtseva Alena Aleksandrovna; Ilinskaya Irina Anatolevna
专利来源 国家知识产权局 转化方式
摘要

FIELD : medicine.SUBSTANCE : invention relates to medicine, specifically to ophthalmology. For reposition and anchoring of a dislocated toric intraocular lens (TIOL) within the posterior chamber, with breaks of both the anterior and posterior capsules, and in the TIOL rotation, the TIOL position axis is determined before the operation. That is followed by marking the patient' s horizontal axis in an operating room in the patient' s sitting position under anaesthesia. Further, in the prone position, an axis of the previously defined TIOL position is marked on the cornea. Two corneal paracenteses are made, an anterior chamber is filled with a viscoelastic. Then using vitreous cutter perform two pairs of colobomas, one pair in areas of expected fixation of TIOL, one coloboma on each side of previously marked position axis of TIOL, wherein centres of every coloboma are located 1.5 mm from TIOL position axis, and line connecting centres with colobomas is perpendicular to said axis. TIOL is then oriented according to the previously determined location of TIOL, enters through paracentesis with a needle with a thread in one of the colobomas, piercing the front leaf of the capsule of the lens and passing under the haptic element TIOL, is removed through the neighboring coloboma, needle is pricked with cornea until place of connection of needle with suture comes out of coloboma. Needle is then removed from the cornea in the opposite direction through the same paracentesis, the needle is cut off and a nodular suture is formed. Said sequence of actions with needle with thread is repeated with other pair of colobomas, washing out viscoelastic from anterior chamber, paracentesises are hydrated. At the end of operation dexamethasone and an antibiotic are injected under a conjunctiva.EFFECT : method improves non-correlated visual acuity, speeds up rehabilitation, eliminates formation of an irregular oval pupil shape, reduces a risk of postoperative inflammatory reactions, and also improves quality of life.1 cl, 2 ex, 1 dwg

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