| 摘要 |
FIELD: medicine, in particular, ophthalmology, treatment of posttraumatic glaucoma for normalization of intraocular pressure at preservation of high visual functions. SUBSTANCE: the own transparent lens with preliminary subtotal "closed" vitrectomia is ablated, then an artificial lens, whose thickness is 5 to 7 times less than that of the own lens, is implanted. After local anesthesia (retrobulbarly 2 to 4 ml of 4-% novocaine, akinesia by 5 to 10 ml of 2-% novocaine) the musculus rectus superior is taken on a suture-retainer. Posterior vitrectomia is conducted through the pars plana according to the conventional procedure. Corneal incision, 6 mm long, is made by a diamond knife from 10.30 a.m. to 13.30 p.m. The anterior crystalline capsule is dissected tangentially by a cystotome from 10.00 a.m. to 13.00 p.m. Lenticular masses are ablated intracapsularly by an aspiration-irrigation system. After injection of viscoelastic substance (healon, hial, visityl) in the lenticular sac an intraocular lens, Model T-26, is introduced. The central part of the anterior crystalline capsule is ablated with the aid of anterocapsular scissors. Continuous suture on the corneal incision. Dexacon with kanamycin under the conjunctive. Monocular dressing. EFFECT: enhanced reliability. |
