METHOD OF TREATING RETINAL DETACHMENT THROUGH ONE-PORT APPROACH WITH USING 25 G SYSTEM IF SCLERAL FILLING APPEARED TO BE NON-EFFECTIVE

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely ophthalmology, and can be used for surgical management of retinal detachments if scleral filling appeared to be non-effective. It involves local vitrectomia followed by retinal gas tamponade though the same approach, and transpupillar retinal retention laser coagulation Vitrectomia is performed in the central zone of a vitreous body (VB) with replacing a VB portion by a gas portion of the same volume which is also brought behind the central zone with using a needle attached to a syringe. The single replacement makes 0.3-0.5 ml, while total volume is 1 ml. Before every following removal of the VB portion, a surgeon turns an operated eye away at an angle 15-20°C and holds it in such position to perform vitrectomia, and with every following bringing of the gas portion, the needle is positioned with its outlet section surface upwards.;EFFECT: method ensures a high percentage of retinal attachment, reduces intraoperative injures and length of operation.;3 cl, 2 ex