SURGERY FOR CONGENITAL II-III DEGREE ECTOPIA LENTIS ASSOCIATED WITH MARFAN'S SYNDROME IN CHILDREN

摘要

FIELD: medicine.;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.;2 ex