Method of recovering binocular functions in case of concomitant strabismus
SUBSTANCE: invention relates to field of medicine, namely to ophthalmology. Laser stroboscopy is carried out during 5 days, 2 times a day with 1 hour interval. First 10 minutes each eye is influenced in turn, then for 5 minutes both eyes are influenced simultaneously. Distance to speckle is 1 m.
EFFECT: recovering binocular functions with elimination of anisoaccomodation, enhancing binocular interaction, increasing visual acuity.
3 cl, 2 ex
The present invention relates to ophthalmology and is intended for restoration of binocular function in concomitant strabismus.
Restoration of binocular functions, the elements of which are bitvalue merger, fusional reserves, relative accommodation, stereo, in-depth perception of space, by using orthoptic and diploptera. This Orthoptera - this treatment on devices with full artificial separation of the fields of vision of both eyes, diplopia - treatment in natural and related conditions [Avetisov AS, Kashchenko OTHER Way to restore binocular vision strabismus.//Discoveries, inventions, industrial designs, trademarks. Bulletin. - 1977. No. 8. - Ed. mon. 548274].
Orthoptic exercises are normally on devices with mechanical separation of fields of view, the most important of which is the synoptophore. The pair of test objects for both eyes is movable and can be positioned at any angle strabismus.
The aim of the exercise is to eliminate functional scotomas, development biovillage mergers and fusional reserves.
Orthoptic treatment limits in the future recoverability of binocular functions in vivo and provides recovery only 25-30% of patients. This is due to the artificial conditions of view on the quiet instruments. Therefore, after reaching the position symmetrical eye treatment to restore binocular functions without mechanical separation of the fields of view.
One of the diploptic treatment is a way of binocular consecutive images, developed Tpowell [Kashchenko OTHER Methods of research and restoration of binocular functions, system diploptera.//Proceedings of memory Averkieva. - M., 1999. - P.69-79]. The method helps to restore biovalley of fusion, to eliminate functional scotomas and to restore binocular vision.
There are a number diplomaticheskii ways in which diplopia is excited by different dissociable ("provocative") techniques: using prisms, color filters of increasing density. Use the computer program "EYE", "path", based on the color separation of fields of view. Method benimeli, when two pairs of the test have on the binarimeter in "free haploscope", diploptic exercises for creating an artificial aniseikonia by a smooth increase of the size of one of monocular images is not more than 5%, the method of phase haploscope using liquid crystal glasses [Avetisov AS, Kashchenko OTHER Way to restore binocular vision.//Discoveries, inventions, industrial is installed samples, trademarks. Bulletin. - 1977. No. 15. - Ed. mon. 554865],[Rabichev IE Methods benimeli in diploptic friendly treatment of strabismus. Abstract. dis.... Kida. the honey. Sciences. - Irkutsk, 1988. - 24 S.].
The present system restore binocular functions with friendly forms of strabismus mainly aimed at eliminating the phenomenon of suppression and recovery of fusional ability. Functional treatment of disorders of accommodation in patients with strabismus limited to the use of certain methods and not systematized.
The closest analogue of the present invention is a method of the same purposes, including reception of dissociation of accommodation and convergence (method "dissociation"), which "teaches" binocular fusion in terms of increasing the load on the adjustment apparatus a negative lens, and also the relaxation of positive spherical lenses under the control of binocular fusion in terms of color, raster and Polaroid separate the fields of view [Avetisov AS, Kashchenko OTHER Way to restore binocular vision. // Discoveries, inventions, industrial designs, trademarks. Bulletin. - 1977. No. 15. - Ed. mon. 554865]. The child overcomes excited when this vision and achieve binocular fusion of the four-point tests of the device, which he OBS the network during the exercise.
The method facilitates the development of bifixation, mergers, acquisitions and relative accommodative.
However, this method can be applied only after recovery of the reflex bifixation and in the presence of unstable binocular vision, which limits the application of this method in certain groups of patients with scotoma, monocular and simultaneous nature of the view.
Disclosure of the invention.
The objective of the invention is to develop a new method for the treatment of concomitant strabismus, based on direct impact on the accommodative apparatus.
The technical result of the invention is the elimination or reduction of the angle of strabismus, visual acuity improvement and restoration of binocular functions with the elimination of anisogametes, strengthening of binocular interaction.
The technical result is achieved due to the normalization of monocular and binocular tonocov accommodation squinting and locking eyes with the laser stroboscope developed in us mode.
Known methods of laser stroboscope that reduce visual fatigue aimed at relaxation excessive tone of the ciliary muscles, improvement in accommodative ability of the eye in people with actinomycetoma complaints.
Earlier studies of tone accommodation with friendly to the Soglasie was not carried out, although, there is information on the absolute decline of accommodative strabismus, especially monolateral type, as well as the presence of anisogametes (I. Smolyaninov, Aznauryan IE and others).
As shown by our studies, conducted in different groups of patients with strabismus (accommodative, partially accommodative, reaccomodation), accommodation suffers for all types of strabismus. The data obtained using laser stroboscope (laser stroboscope is also used for diagnostic purposes to determine the tone of accommodation with 1 m and 0.33 m), testified to the violation of the tone of accommodation: when accommodative strabismus - decline (often retaining an eye, with partially accommodative strabismus - in both eyes and in case of nonaccommodative strabismus is on more squinting eye. Revealed the presence of anisogametes. The change in the tone of accommodation more expressed than 1 m, from 0.33 m Data accomodate on AK/01 And showed a decrease of this indicator in more squinting eye for all types of strabismus. It was also revealed abnormal increase of the ratio of accommodative convergence to accommodation in accommodative forms of strabismus. Based on the above, it was decided to act on the accommodative apparatus using laser stroboscope to restore narushin the th accommodative ability. Laser stroboscopy in the developed mode, as shown by our research, directly acts on the accommodative apparatus:
increases tone of accommodation, eliminates anisogametes, enhances binocular interaction, which leads to the reduction or disappearance of the angle of strabismus, visual acuity improvement (due to the normalization of accommodative ability and simultaneous stimulation of the photoreceptors of the retina) and the restoration of binocular functions.
The implementation of the invention.
To determine the capabilities of laser stroboscope when restoring visual function in patients with friendly strabismus were selected 15 people with accommodative and partially accommodative strabismus (after surgical repair of strabismus).
The method is as follows: the device is laser stroboscope consists of a rotating cylinder and a helium-neon laser, located at a distance of 5 m from it. Laser light upon reflection from a matte surface of the cylinder interferes and is perceived as a luminous point (speckle). The patient is shown diffuse horizontal dynamic laser speckle from a distance of 1 m In the first 10 minutes of act one to each eye, and then 5 minutes for both eyes. In the trial frame is placed corrective lens forces the th, necessary to stop the movement of grain. Then depending on the state of the tone of accommodation, the strength of the lenses is reduced by 0.25 to 0.5 diopters when geodinamicheskoi form of accommodative dysfunction and the patient is instructed to fix laser speckle for 5 minutes With repeated cycles of changing lenses with the gradual Menshenin 0.25-0.5 diopters was carried out in the case of stop motion "graininess". The positive effect will be when the value of the corrective lenses will tend to zero. Laser stroboscope is carried out in 5 days, 2 times a day with an interval of 1 hour.
The patient sits at a distance of 1 m from the cylinder with speckle. This mode is selected by a violation of the tone of accommodation for a distance of 1 m than for distances from 0.33 m In contrast to the known methods of treatment is the training and strengthening of the weakened ciliary muscle. In the first 10 minutes of act alternately on each eye for the normalization of monocular tonocov accommodation, and then 5 minutes on both eyes at the same time to enhance binocular interaction 2 times a day with an interval of 1 hour to enhance the effect, within 5 days by the day. Only the duration of one session is 15 minutes. A survey of patients conducted one week after treatment, after 3 months the effect was preserved, and in 6 months have noticed a decrease in tone is. It is preferable to repeat the treatment every 6 months.
As shown by our data, treatment with laser stroboscope resulted in normalization of monocular and binocular tonocov accommodation, and to reduce accommodative anisometropia. Were observed normalization of volumes absolute accommodation often squinting eyes in 76% of cases. Research conducted with correction, showed that 8 patients after treatment of strabismus angle disappeared, and the remaining 7 people it was less than 10°.
Effect on accommodative apparatus has improved the visual acuity of 0.1 to 0.4 (in 27% of cases).
Normalizing the tone of accommodation, accompanied by a decrease in the angle of strabismus, as well as increased visual acuity changed the nature of the vision of the patients. After treatment the number of patients with binocular vision increased from 26% to 60%.
The treatment had a positive effect on the value of fusional reserves. In 20% of patients showed normalization of both positive and negative fusional reserves, one patient reserves appeared for the first time.
Thus, if the inclination angles up to 10°), it is advisable to start treatment with laser strobe, and at large angles, the first step should be to carry out surgery with subsequent inclusion laser strobe.
Proposed ways which improves visual acuity, eliminates or reduces the angle of strabismus, restores visual function by eliminating anisogametes and strengthening of binocular interaction.
Clinical example 1. Patient O., age 10. Before treatment. Diagnosis: friendly, accommodative, alternating (often OD) strabismus. Hm medium.
Before treatment Vis OU 0,8 b/K and C/K. refraction Hm +to 3.5 diopters deviation alternive 8-10° without correction, 0° C correction. The amount of absolute accommodation often squinting eye to 3.0 diopters, often locking eyes of 7.0 diopters. The ratio AK/And 5.7 pdptr/diopters. The tone of accommodation with 1 m more squinting eyes a-0.7 diopters, often locking eyes -0,4 diopters, "binocular" tone of accommodation will be 0,55 diopters. With 0,33 meter tone of accommodation often squinting eye -2,0 diopters, often locking eyes -1,9 diopters, "binocular" tonus of-2.1 diopters. The nature of the view with 1 meter binocular with 2.5 and 5 meters simultaneously. OY=SY=7° C correction. Fusional reserves not.
The treatment was performed according to the above method. The patient was placed at a distance of 1 m from the screen with speckle. In a test frame was placed lens power +of 3.5 diopters in front of each eye. In the first 10 minutes worked alternately on each eye, and then 5 minutes on both eyes at the same time. The patient tried to stop the movement of the laser speckles. After reaching effect strength of the lenses was reduced by 0.25 diopters. The first session of 3.5 diopters, a second treatment +of 3.25 diopters, third session - +3,0 diopters, etc. came to +1.0. The reducing power of the positive lens leads to increased tone of accommodation. The treatment lasted for 5 days, 2 times a day with an interval of 1 hour.
After treatment: Vis OU 1,0 b/K and C/K. refraction Hm +to 3.5 diopters deviation in primary position 0° without correction, in dividing the installation of traffic by type of esotropia, 0° C correction. The amount of absolute accommodation often squinting eyes of 7.0 diopters, often fixing his eyes were 9.0 diopters. The ratio AK/As 4,9 Ave DP/DP. The tone of accommodation with 1 m more squinting eye -0,8 diopters, often locking eyes of-0.75 diopters, "binocular" tone of accommodation of-0.75 diopters from 0.33 meter tone of accommodation often squinting eyes and 2.5 diopters, often locking eyes -2,4 diopters, "binocular" tone -2,4 diopters. The nature of binocular vision throughout. OY=SY=0° C correction. Fusional reserves +4,0; -2,0.
Thus, the normalization of the accommodative apparatus resulted in the normalization of visual functions: to improve visual acuity, reduction of the angle of strabismus, restoration of binocular vision.
Clinical example 2. Patient A., aged 6. Before treatment. Diagnosis: friendly, partial accommodative, alternating (usually OS) strabismus. Amblyopia weak, OS Hm weak.
Before treatment Vis b/C OD 0,8; OS 0.6 and c/K OD of 1.0 OS 0,7, refraction Hm OD +2,5 OS +2,75 diopters, d is veazie alternive 25° without correction, 17-20° C correction. The amount of absolute accommodation often squinting eyes of 2.0 diopters, often locking eyes of 6.0 diopters. The ratio AK/And 5.5 pdptr/diopters. The tone of accommodation with 1 m more squinting eye -6,0 diopters, often locking eyes of-0.5 diopters, "binocular" tone of accommodation of-0.5 diopters. With 0,33 meter tone of accommodation often squinting eye -1,8 diopters, often locking eyes -1,7 diopters, "binocular" tone -1,8 diopters. Nature vision monocular throughout. OY=20° C correction SY - scotoma.
The surgery intervention: recession MRM of 4 mm, resection MRL 8 mm Deviation 0-7°. Without correction. 0°-3° C correction.
After 1 month completed the treatment on a laser strobe. After treatment, the tone of accommodation normalized and was with a distance of 1 m more squinting eye -0,8 diopters, often locking eyes of-0.75 diopters increased and "binocular" tone of accommodation to-0.8 diopters, which leads to increased binocular interaction. With 0,33 meter tone of accommodation often squinting eye -2,6 diopters, often locking eyes and 2.5 diopters, "binocular" tone -2,7 diopters. There was an increase of visual acuity without correction and with correction Vis b/C OD of 0.9; OS of 0.7-0.8 and c/K OD of 1.0 OS 1.0, the refraction Hm OD +2,5 OS+2,75 diopters decreased deviation without glasses and disappeared altogether in glasses: deviation 0-3° without correction alternive, 0° C correction. Increased volume of absolute accommodation h the school squinting eye to 5.0 diopters, often fixing his eyes to 8.0 diopters. The ratio AK/And decreased to 4.5 pdptr/diopters. The character of view simultaneously from 5 to 2.5 m and 1 m - unstable binocular. OY=5° C correction SY=OY. Fusional reserves not.
The proposed method can also be used after surgery to remove the residual angle of strabismus, improve visual acuity, binocular vision restoration by normalizing monocular and binocular tonocov accommodation more squinting and often locking eyes.
1. The method of restoration of binocular function in concomitant strabismus, characterized in that conduct laser stroboscope for 5 days 2 times a day with intervals of 1 h, during the first 10 min act alternately on each eye, and then 5 minutes on both eyes simultaneously with the distance to the speckle size 1 m
2. The method according to claim 1, characterized in that when the angle of strabismus is more than 10° previously conducted surgical strabismus.
3. The method according to claim 1, characterized in that the treatment should be repeated after 6 months.
SUBSTANCE: invention refers to medicine and aims at epilepsy management. Carotid and vertebral arteries are sequentially exposed to IR laser light, infra-red laser radiation to the right and to the left each for 5 minutes. Frontal, temporal, parietal and occipital lobes are exposed to magnetic field and microwave radiation to the right and to the left each for 3 minutes. And visual analyser is exposed to IR waves within 30 minutes. It is combined with electroencephalographic training with course of treatment 15 procedures.
EFFECT: disclosed method allows for improved mental measurements, relieved remove proneness to convulsive activity, suppressed epileptogenic zones, improved metabolic and energy cerebral processes, normalised cerebral blood flow regulation, recovered cortical neurodynamic disorders.
SUBSTANCE: invention refers to medicine, oncology and to be used for neoadjuvant chemoradiotherapy in the patients suffering from thoracic oesophagus cancer. Said therapy is ensured by introduction of cisplatin and leucovorin, and continuous intravenous infusions of fluorouracil dosed 300 mg/m2. Cisplatin solution is introduced intravenously drop-by-drop and dosed 6 mg/m2 daily once a day within 1 hour. Leucovorin is injected intravenously jet-like and dosed 30 mg/m2. Radiotherapy involves daily fractions 3 Gy to total basic dose 30 Gy. The course dose of fluorouracil is 3600 mg/m2, of cisplatin is 72 mg/m2, of leucovorin 360 mg/m2. Chemotherapy and radiotherapy are to be started the same day.
EFFECT: disclosed method allows for considerably reduced toxicity of treatment to be continuous, treatment of the patients originally of bad performance status, for doubly reduced time of neoadjuvant treatment with maintaining high clinical effectiveness.
SUBSTANCE: invention refers to medicine, urology, physiotherapy and to be used in the patients suffering from chronic pyelonephritis accompanied with chronic prostatitis and chronic cystitis. The method involves taking the mineral water of the Slavjanovsky source dosed 3 - 5 ml per kg of body weight, combined with carbonic mineral baths 35-37°C for 15 minutes 3 times a day, № 8-10, mud "panties" at 40-42°C within 30 minutes to 1.5 hours, prostate massage № 8-10, additionally 50-60 minutes later followed with electropulse therapy combined with exposure to laser magnetic rays. Electropulse therapy involves low-frequency, low-voltage pulse current with a spherical unipolar electrode. Exposure is contact, labile, clockwise and located at skin projection of ascending, transverse and descending large intestine at frequency 30.2 Hz within 8-10 minutes. The course of treatment is 10-12 procedures.
EFFECT: method improves life quality of the patients both in latent phase of inflammatory process, and in mild and moderate active chronic process.
2 ex, 2 tbl
SUBSTANCE: invention concerns ophthalmology and is intended for treatment of infectious diseases of a cornea. Photodynamic therapy with the use of gel containing an octacation phthalocyanine of zinc in concentration of 1-3 mg/ml, which is applied on a cornea as a photosensitinogen, is performed. The conjunctival cavity is washed out after 30 - 40 minutes and influenced with a laser radiation with a wavelength of 675 nm with a light dose 20 - 60 J/cm2 in of 5 minutes, once a day. 1-8 sessions during each course.
EFFECT: method allows destroying the originator of keratitis in a cell with the maximum safety of surrounding tissues of the cornea.
2 tbl, 3 dwg, 1 ex
SUBSTANCE: invention concerns medicine, namely, physiotherapy, reflexotherapy. Prior to the beginning of backbone extension acupuncture by the rule "Mother-son" is performed. In 3-5 days the backbone is simultaneously influenced with a magnetic-laser radiation and extension is performed. The magnetic-laser radiation influence is spent in red 630-650 nm and infra-red 890-950 nm ranges with 50 mT intensity of a magnetic field. Backbone extension is spent in mass of a load by 15-30 kg. Total time of the procedure makes 15-20 minutes.
EFFECT: method increases analgetic effect, reduces puffiness and improves microcirculation and trophicity of tissues.
SUBSTANCE: invention relates to field of veterinary. Method includes preliminary feeding medical herb flour to cattle on the background of main diet. After feeding with medical herb flour, cattle is subjected to single low-intensity magnet-laser exposure with semi-conductor laser "Isel-Victoria" on the region of spine from withers to tail attachment from both sides. Exposure is performed for 5-10 minutes from each side, for cows from distance 10-12 cm, for calves from distance 3-4 cm from middle sagittal line. Exposure is performed with the following radiation modes: wave length 0.85-0.89 mcm, laser impulse power 3.5 mW -5.0 W, pulse repetition frequency -50-80 Hz, energy dose - 0.002-0.024 J/cm2, power density - 0.1-0.3 mW/cm2 .
EFFECT: method allows to remove heavy metals from cattle organism in short time.
SUBSTANCE: invention relates to medicine, namely to psychotherapy, reflexotherapy and concerns treating patients suffering from compulsive overeating. Psychotherapeutic influence is realised by means of individual suggestive influence. Patient is brought into the state of trance and simultaneously their acupuncture points are influenced, before individual suggestive influence, neurolinguistic programming is carried out and new ecological image of "healthy Ego" is formed. Essence transformations of personality are realised and new healthy principles of correct nutrition are formed, prevention of "diet depression" is also realised, individual suggestive influence being directed to psychological support, distraction from persistent thoughts about food, weight and figure, normalisation of food intake, elimination of diet self-restrictions, solution of life difficulties; reflexotherapeutic influence on acupuncture points is realised by infrared photobiostimulation and extremely high-frequency exposure onto corporal points, after which patient is given home task in form of "diary of correct food behavior". Infrared photobiostimulation is performed on point T20, extremely high-frequency exposure is performed on corporal points E36, MC6, GL4, VB8, VC12, RP6. Individual suggestive influence is performed by means of Ericksonian hypnosis. On finishing the course of treatment, psychological support is carried out in form of consultations in order to form and support strategy of correct food behaviour. In process of carrying out reflexotherapy course simultaneously infrared exposure of low intensity and extremely high-frequency exposure are used. Individual suggestive influence, infrared exposure of low intensity and extremely high-frequency exposure are carried out simultaneously.
EFFECT: method lies in increasing treatment efficiency.
SUBSTANCE: simultaneous joint physiotherapeutic influence repeating during several days by a magnetic field, infra-red laser radiation and radiation of light-emitting diodes on area of a postoperative wound is performed. Physiotherapeutic influence is carried out starting from the second day after operation, within 10 days, twice a day during morning and evening time, with a therapy break for the fourth day. And from the first till the third day laser radiation is influenced at frequency of repetition of impulses of 5 Hz, powers of radiation 30 mW and duration of 6 minutes. From the fifth till the tenth day laser radiation at frequency of repetition of impulses from 50 Hz to 600 Hz, power of continuous radiation is influenced of the light-emitting diodes 60 mW and duration of influence of 5 minutes.
EFFECT: acceleration of an angenesis of patients after operation, analgesic effect, absence of purulent complications, possibility to refuse a fixing thoracal corset.
FIELD: medicine; surgery.
SUBSTANCE: for treatment of keloid or hypertrophic cicatrixes of a skin unitary freeze a cicatrical tissue on a site in diameter 1 the exposition of 15-20 seconds. Thus rate of handpiece cooling makes 220°C/minute. Temperature on a working part of the handpiece makes 180°C. Then, without waiting of thawing, a laser photocoagulation in a pulsed operation is carried out. Frequency of a pulsed operation makes 10-12 Hz, power 5 W. All area of cicatrix is treated in the same way.
EFFECT: rising of efficiency of treatment, reduction of number of relapses, treatment depreciation, reduction of terms of treatment, maintenance of painlessness of procedure.
SUBSTANCE: invention concerns medicine, particularly cardiology, and can be applied in coronary disease treatment, exertional angina of I-II functional class. Magnet laser therapy is performed starting from 4th adaptation day. Infrared laser radiation is applied with wavelength of 0.89 mcm in impulse mode of intensity of 7 W, pulse frequency of 80 Hz and constant magnetic field with induction of 50 mTl. Each of 4-5 symmetrical bioactive points is affected for 1 minute. Total impact time is 8-10 minutes. Full-body hydrosulfide baths are added starting from 5th day of treatment with hydrosulfide concentration of 50-150 mg/l for exertional angina of I functional class and with hydrosulfide concentration of 50-100 mg/l for exertional angina of II functional class. Water temperature is 36°C, duration comprises 6-15 minutes. Baths are performed on days free from magnet laser therapy. A course includes 8 physiological procedures and 8 balneological procedures.
EFFECT: enhanced physical efficiency, stimulated activity of involuntary nervous system, improved indicator values of lipid exchange, peroxide lipid oxidation, antioxidant and coagulation systems, reduced risk of coronary disease complications.
2 ex, 14 tbl, 3 dwg
SUBSTANCE: invention relates to medicine, namely to ophthalmology and is intended for treating patients with ocular hypertension which arose as a result of eye contusion. In addition to application of medications reducing intraocular pressure, course of pterygopalatine - orbital blocks with pharmacological composition consisting of 0.1-1.0 ml of 5% pentamin solution, 4.0-6.0 ml of 2% lidocaine hydrochloride solution and 0.5 -1.0 ml of ketonal solution is carried out, blocks being carried out during 1-3 days.
EFFECT: stable normalisation of intraocular pressure in injured eye in order to recover eye hydrodynamics, preserve and improve visual acuity and recover visual field in patients with eye contusion, as well as reduction of rehabilitation terms.
SUBSTANCE: invention relates to ophthalmology and can be used for treatment of anterior uveitis. Subconjunctival injection of medication is made above one of main anterior ciliar arteries. Above said artery active electrode is installed for performing electrophoresis. Before injection sodium fluorescein is added to medication in order to give solution ellowish-brown colour. Control of medication inflow into blood stream is realised by means of performed during electrophoresis biomicroscopy with installed on slit lamp light filters for fluorescent angiography.
EFFECT: directed inflow of medication into blood stream as well as maximal saturation of iris with medication.
SUBSTANCE: invention refers to medicine, namely to ophthalmology and covers specific pressure determination in patients suffering from open-angle glaucoma. Corneal hysteresis (CH) and intraocular pressure (IOP) are evaluated by Goldman's tonometry. If the CH is 8 mm hg and lower, IOP is reduced with drug therapy to ensure the CHs average for healthy population. The IOP relevant to this CH is considered to be specific.
EFFECT: method makes it possible to choose an adequate glaucoma therapy considering the specific pressure.
SUBSTANCE: disclosed method refers to medicine, namely to ophthalmology. Long-continued delivery of active retinoid to posterior pole of mammal's eye enables treatment or prevention of proliferative vitreoretinopathy, age-related macular degeneration, and pigmentary retinopathy. It involves subconjunctival or periocular delivery of prodrug retinoid in effective amount actually being ether derivative of active drug 10 times more active than prodrug.
EFFECT: method allows for reduced risk of potential complications with decreased concentration of introduced drug.
13 cl, 10 dwg, 2 tbl, 8 ex
SUBSTANCE: invention refers to ophthalmosurgery and to be used for adult anisometropia correction by excimer laser operation started with preoperative case detection of the patients with either pre-correction lower visual acuity 0.6 or lower to be maximally corrected to 0.2 or higher, and pre-correction higher visual acuity 0.6 or higher, or both pre-correction visual acuities 0.6 or lower to be maximally corrected to 0.2 or higher. Maximally correcting contact lenses are used daily within at least 3 months to correct lower visual acuity or both visual acuities. Lenses are applied at least for 4 hours within first 3-4 days, and 1 hour more every day to final time 8-12 o'clock. After that lower visual acuity or both visual acuities are estimated with contact lenses, once lower visual acuity or both visual acuities been received 0.4 or higher against binocular vision and the absence of astenotopic complaints, excimer laser operation is performed on originally lower or both vision acuities.
EFFECT: method allows detecting indications for excimer laser operation in patients suffering from anisometropia and assuring postoperative binocular vision and the absence of astenotopic complaints.
2 cl, 2 ex
SUBSTANCE: invention refers to ophthalmology and aims at therapy of recurrent aching bullous keratopathy following excimer laser phototherapeutic glaucoma eye keratostromectomy. Each bulla is pricked with a pointed microdiathermocoagulating microelectrode needle thereby forming cicatrical canal between bulla and anterior layers of cornea stroma. Manipulation is carries out at temperature +80°C and current strength 1.0-2.0 mA.
EFFECT: method allows for rapid relief of pain syndrome, for stopped recurrent bullae and for reduced risk of cornea bacillosis.
1 ex, 2 dwg
SUBSTANCE: invention refers to ophthalmology and to be used in children for therapy of Marfan's syndrome. The operation is performed through scleral tunnel incision 3.5 mm wide and additional 5 corneocenteses. Pupil edge is pulled up to cornea, inserted through corneocenteses. Anterior capsule of lens is notched within ectopy at equator. Vertical incision of capsule is started either side from the notch to Zinn ligament origin. The incisions are traced further either side along the equator perpendicularly to vertical incision to the opposite edge of lens. Formed "П"-shaped flap of anterior capsule of lens is unfolded and covers iris. Leaf of anterior capsule is fixed to iris with a needle through corneocentesis. Lenticular matters are removed. Also the needle and irisretractors are removed. Anterior capsule flap is tucked in iris. Elastic intraocular lens RSP-3 model is inserted with haptic elements in iris on leaf of anterior capsule. While implanted one haptic element of lens covers the dysplasia of Zinn ligament and on leaf of anterior capsule. Pupillary edge is sutured.
EFFECT: method provides preservation of lenticular capsule and anterior hyaloid membrane of vitreous body in removing lens, provides central and stable position of IOL, reduces risk of complications, reduces rehabilitation time.
SUBSTANCE: invention refers to ophthalmosurgery and can be used for lensectomy as dislocated into vitreous body. Vitrectomy is followed with filling the vitreal cavity with perfluororganic compound (PFOC). The lens floated into the pupillary zone is removed by phacoemulsification combined with constant adding of PFOC for maintenance of anatomic lens position within the posterior chamber.
EFFECT: reduced number of post-operative injuries, complications and potential injuries of corneal endothelial cell, as well as in possibility for hard cataract extraction.
SUBSTANCE: invention refers to ophthalmosurgery and can be used for cataract extraction. High-vacuum capsulorexis, hydrodissection and hydrodelineation steps are followed with equatorial aspiration of cortical matter of cataract crystalline lens. Cortical matter between nucleus of lens and posterior capsule is kept to protect posterior capsule as nucleus being manipulated thereafter. Central nucleus is recessed with ultrasound by 2/3 of nucleus thickness. Ultrasound is disabled, while nucleus fixed by vacuum aspiration on a tip of a phacofragmentation unit, is destroyed by a chopper. Nucleus fragments are aspirated at minimal ultrasonic power output.
EFFECT: method provides lower ultrasonic exposition during cataract phacoemulsification procedure, thereby reducing operation length and risk of operative complications.
SUBSTANCE: invention refers to medicine and ophthalmology and can be used for strabismus aggressive approach. Hyperactive muscle is separated and recessed. Released muscle is fixed by means of a silicone-tape transplant exsected in the muscle width and the length of prospective recession. One end of the transplant is fixed to muscle, while the other is fixed to sclera at an original attachment of operated muscle.
EFFECT: method ensures management of strabismus, higher release of muscle pull, improved potential extent of recession and maintained contractile function of operated oculomotor muscle, eliminated postoperative complications, reduced treatment time.
SUBSTANCE: method involves introducing 0.1-0.3 ml of photosensitizing gel preliminarily activated with laser radiation, after having removed neovascular membrane. The photosensitizing gel is based on a viscoelastic of hyaluronic acid containing khlorin, selected from group containing photolon, radachlorine or photoditazine in the amount of 0.1-2% by mass. The photosensitizing gel is in vitro activated with laser radiation having wavelength of 661-666 nm during 3-10 min with total radiation dose being equal to 100-600 J/cm2. The gel is introduced immediately after being activated. To compress the retina, vitreous cavity is filled with perfluororganic compound or air to be further substituted with silicon oil. The operation is ended with placing sutures on sclerotomy and conjunctiva areas. Compounds like chealon, viscoate or hyatulon are used as viscoelastic based on hyaluronic acid. Perfluormetylcyclohexylperidin, perfluortributylamine or perfluorpolyester or like are used as the perfluororganic compound for filling vitreous cavity.
EFFECT: excluded recurrences of surgically removed neovascular membrane and development of proliferative retinopathy and retina detachment; retained vision function.
3 cl, 5 dwg