发明名称 |
METHOD FOR SURGICAL MANAGEMENT OF THROUGH IDIOPATHIC MACULAR RUPTURE |
摘要 |
FIELD: medicine.SUBSTANCE: end of an internal limiting membrane (ILM) is separated from a retina at 2.0-2.5 mm to an inferior temporal arcade from a rupture edge. A pair of pincers is used to grip an ILM end; the membrane is separated throughout 2-3 o'clock meridians by doing a motion directed along a segment of an imaginary circle with the macular rupture in the centre. A retinal section is controlled to be intact at 1.0-1.2 mm from the rupture edge. The following stage involves embracing the separated ILM in an end point and moving along the circle radius to separate the ILM stopping 0.5-0.8 mm short of the rupture edge. The ILM is embraced again in the end point and separated throughout 2-3 o'clock meridians in the opposite direction. The ILM separation is completed by performing a radially directed motion arriving in the initial point. The described manipulations are repeated to form a foveolar fragment of the ILM. The last ILM segment is removed so as to prevent the ring from closing at 2.5-3.0 diameters of the macular rupture. The ILM flap is separated in the direction from an outer border to the centre stopping 0.5-0.8 mm short of the rupture edge. The flap is turned over and placed on the macular rupture.EFFECT: reducing the number of injuries accompanying the surgical intervention, eliminating the vertical and horizontal retinal tractions, closing the macular rupture completely, improving the visual functions. |
申请公布号 |
RU2563452(C1) |
申请公布日期 |
2015.09.20 |
申请号 |
RU20140141390 |
申请日期 |
2014.10.15 |
申请人 |
FEDERAL'NOE GOSUDARSTVENNOE BJUDZHETNOE UCHREZHDENIE "MEZHOTRASLEVOJ NAUCHNO-TEKHNICHESKIJ KOMPLEKS"MIKROKHIRURGIJA GLAZA" IMENI AKADEMIKA S.N. FEDOROVA" MINISTERSTVA ZDRAVOOKHRANENIJA ROSSIJSKOJ FEDERATSII |
发明人 |
BELYJ JURIJ ALEKSANDROVICH;TERESHCHENKO ALEKSANDR VLADIMIROVICH;SHKVORCHENKO DMITRIJ OLEGOVICH;SHILOV NIKOLAJ MIKHAJLOVICH |
分类号 |
A61F9/007 |
主分类号 |
A61F9/007 |
代理机构 |
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