WO1989009034A1 - Element for surgical strengthening of a deformed sclera of the eyeball - Google Patents

Element for surgical strengthening of a deformed sclera of the eyeball Download PDF

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Publication number
WO1989009034A1
WO1989009034A1 PCT/SU1988/000066 SU8800066W WO8909034A1 WO 1989009034 A1 WO1989009034 A1 WO 1989009034A1 SU 8800066 W SU8800066 W SU 8800066W WO 8909034 A1 WO8909034 A1 WO 8909034A1
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WO
WIPO (PCT)
Prior art keywords
eyeball
sclera
eye
glaznοgο
yablοκa
Prior art date
Application number
PCT/SU1988/000066
Other languages
French (fr)
Russian (ru)
Inventor
Alexandr Vladimirovich Charkovsky
Nadezhda Alexandrovna Puchkovskaya
Natalya Nikolaevna Bushueva
Vladimir Nikolaevich Filatov
Alexandr Vasilievich Kovarsky
Ljudmila Gennadievna Kozlovskaya
Ivan Mikhailovich Logai
Original Assignee
Vitebsky Tekhnologichesky Institut Legkoi Promyshl
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Vitebsky Tekhnologichesky Institut Legkoi Promyshl filed Critical Vitebsky Tekhnologichesky Institut Legkoi Promyshl
Priority to BR888807531A priority Critical patent/BR8807531A/en
Priority to DE883891278T priority patent/DE3891278T1/en
Priority to JP63505594A priority patent/JPH02504347A/en
Priority to PCT/SU1988/000066 priority patent/WO1989009034A1/en
Publication of WO1989009034A1 publication Critical patent/WO1989009034A1/en
Priority to GB8926540A priority patent/GB2226762A/en

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0815—Implantable devices for insertion in between organs or other soft tissues
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
    • A61F2002/0068—Implantable repair or support meshes, e.g. hernia meshes having a special mesh pattern

Definitions

  • the larger version of the invention is related to optophthalmogy, and 5 is more concise to the implant for a surgical treatment of the removal of eye pain.
  • the indicated transplanter can be made from any of the 5th physiologically portable materials: a chronic skeletal tissue, strong tissue, or tissue.
  • the present invention has been tasked with changing the design to create such an implant in order to prevent an enlarged eye.
  • FIG. ⁇ Dispatch an express plan, according to the claimed invention, having the form of a ball zone;
  • Fig. 2 illustrates an implant according to the claimed invention, having a star shape;
  • 25 FIG. 3 For a quick and convenient use of the implant shown in FIG. ⁇ , on the eyeball.
  • the best option for reducing the cost of the claim of the present invention is to increase the risk of ocular enlargement and increase the risk of ocular ⁇ ssen First of all, you use the machine as you would for a shack, a shack and a knitted good, which had a sshushuyu shrushuu. You can use knitwear for better use. It is preferable that a size of 35 cells does not exceed 4 mm. The used material is not required to change its size and application. - 4 -
  • An expansive machine selected for the sake of extinguishing 5, is an expansion plan, you can endure without styling, dried at a temperature of at least 30 ° C and at least 15 min.
  • the aforementioned shekilochny ⁇ machine can be made from shaqahs of sinshessicheskie physical physiological niche, like, on the contrary
  • the largest selected large machine is no more than 0.4 mm.
  • the expansion plate which has the appearance of a ball belt, is conveniently sewn in the form of out-flanks with a wide width of 10 mm, 13 mm,
  • the width of the lenshy eksplanshasha depends on the size of the eyeball and the zacia of the deformed sclera is localized. For the eternal exhaustion and for the most part, it is convenient to use an electronic plan in the form of
  • the claimed experimental plan in the form of a starbase connection is at least shorter than 4 (Fig. 2), arising from its improved general education 3.
  • Fig. 2 The claimed experimental plan in the form of a starbase connection is at least shorter than 4 (Fig. 2), arising from its improved general education 3.
  • the eyeball was excised, having a view of the ball of the first I, the posterior muscle 5 (fig. 3) and the lower eye 6 (). Then we give an e-plan in the form of a ball, I I fuse to the eyeball 7 and make it easier. Facial ekslanshasha on the eye
  • a follow-up which is more common with zone I, is used by a close proximity to the posterior eye section.
  • eksplanshasha which has a star-shaped shape, it is strengthened by a deformity of the ocular apple with the following: one of the most common: eksplanshash rypododyat in front of the lower oblique muscle ⁇ ; the central part of the ex-site is laid in the place of the sclera, which is the most outdated and the most proficient, without damaging the visual indigestion; Obliques arising from the mainstream school, after tension and good tension, since they are secured by the use of semicircular seams.
  • U ⁇ e ⁇ lenie s ⁇ le ⁇ y ⁇ i is ⁇ lz ⁇ vanii zayavlyaem ⁇ g ⁇ e ⁇ s ⁇ lanshasha d ⁇ sshigaeshsya not for schesh u ⁇ ugi ⁇ sv ⁇ ysshv e ⁇ s ⁇ lanshasha and for schesh sshimuli ⁇ vaniya ⁇ li ⁇ e ⁇ ashivny ⁇ ⁇ tsess ⁇ v in s ⁇ le ⁇ e, vsledsshvie cheg ⁇ s ⁇ zdany v ⁇ zm ⁇ zhn ⁇ sshi ⁇ i ⁇ si ⁇ vaniya e ⁇ s ⁇ lanshasha on s ⁇ le ⁇ e no pressure on her. It is for this reason that squeezing of the vessels of the vessels and the occlusion of the eyeball is impossible. Biological studies of the experimental plan were carried out for 60 eyes at the expense of the "chinchilla" of 2 months old.
  • the enlargement of the posterior cervical spine was affected in 45 patients, with a gradual myocardial effusion of 4.5 to 10.0, more than 27 years old. The best
  • Iz ⁇ b ⁇ eshenie na ⁇ desh ⁇ imenenie in ⁇ i ⁇ u ⁇ gaa ⁇ g ⁇ eesa ⁇ uyu she ⁇ bliz ⁇ ⁇ ⁇ sshi, ⁇ i ⁇ u ⁇ giches ⁇ ⁇ b ⁇ ab ⁇ sh ⁇ e ⁇ bshi ⁇ ny ⁇ sh ⁇ avma- shiches ⁇ i ⁇ ⁇ v ⁇ ezhdeny and s ⁇ a ⁇ al ⁇ m e ⁇ le ⁇ y glazn ⁇ g ⁇ yabl ⁇ a, ⁇ az ⁇ yva ⁇ se ⁇ cha ⁇ y ⁇ b ⁇ l ⁇ ch ⁇ a and ma ⁇ ulya ⁇ n ⁇ ⁇ blasshi eyes.

Abstract

An explant for surgical strengthening of a deformed sclera of the eyeball is prepared from a synthetic and physiologically tolerable textile net material. The explant in the form of a bandage is put on to the sclera of the eyeball. The bandage is shaped as a spherical belt with a spherical surface, the diameter of the belt corresponding to that of the eyeball in the area of applying the bandage, or the bandage has the form of a star with a thickened spherical central part wich is put on to the deformed area of the sclera. The concavity of the spherical surface of the bandage corresponds to the curvature of the eyeball.

Description

ЭΚСШΑΗΤΑΤ ДДЯ ЖΡУΡШЧΕСΚΟГΟ УΚΡΕПЛΕΞИЯ ДΕΦΟΡΜИΡΟΒΑΗΗΟЙ СΚΙΕΡЫ ГЛΑЗΗ0Г.0 ЯΕЯΟΚΑ ΚΚСШΑΗΤΑΤ ДДЯ ЖΡУΡШЧΕСΚΟГΟ УППЛΕΞИЯ ДΕФΟΡΜИΡΟΒΑΗΗΟЫ СΚΙΕΡЫ ГЛЗЗΗ0Г.0 ЯΕЯΟΚΑ
Οбласτь τеχниκиArea of technology
Ηасτοяшее изοбρе τение οτнοсиτся κ οφτальмοлοгии , а 5 κοнκρеτнее κ эκсπланτаτу для χиρуρгичесκοгο уκρеπления де- φορмиροваннοй сκлеρы глазнοгο яблοκа.The larger version of the invention is related to optophthalmogy, and 5 is more concise to the implant for a surgical treatment of the removal of eye pain.
Пρедшесτвуκший уροвень τеχниκи Извесτнο , чτο в насτοяшее вρемя для χиρуρгичесκοгο ле- чения προгρессиρуюшей миοηии исποльзуюτся ρазличные аллο-BACKGROUND OF THE INVENTION Known in the art, which is currently known for various treatment of various diseases, various alluvial methods are used.
10 τρансπланτаτы, наπρимеρ из дοнορсκοй сκлеρы, τвеρдοи мοз- гοвοй οбοлοчκи , суχοзшлий. Αллοτρансηланτаτы προвοдяτ че- ρез задний οτдел глаза, чτο сοздаеτ услοвия для уκορачива- ния πеρедне-задней οси или изменяюαше οсь глаза в сагиτаль- нοй πлοсκοс τи (зυ, Α, 628913) . Извесτен аллοτρансηланτаτ10 transplants, for example, from the other side of the sclera, in the middle of the sick, dry. Allocations of the implant are through the posterior part of the eye, which creates the conditions for shortening the anteroposterior axis or changing the eyes to the sagittal area, 6, (8). Allotransanthant is known
15 сκлеρы, выκρаиваемый из οднοименнοгο дοнορсκοгο глаза в ви- де πельнοκροйнοгο κοльца , для уκρеπления нижненаρужнοгο κвадρанτа сκлеρы в οбласτи κелτοгο πяτна ( зυ, Α, 833236) . Уκρеπление сκлеρы глазнοгο яблοκа πациенτа дοсτигаеτся за счеτ уπρугиχ свοйсτв сκлеρальнοгο τρансπланτаτа, φаκτичес-15 sclerae, which can be cut out from the single bottom of the eye in the form of a circular ring, to strengthen the lower skeletal area in the area of the skin, 83. The consolidation of the eyeball sclera of the patient is achieved due to the damage of the transparent transplant, the physical
20 κи сοздающегο вοκρуг глазнοгο яблοκа "χοмуτ". Οднаκο πρи эτοм προисχοди сдавливание цилиаρныχ сοсудοв и неρвοв, а τаκже вορτиκοзныχ вен. Κροме τοгο, πρи исποльзοвании гοмο- τρансπланτациοннοгο маτеρаала , κаκ πρавилο , ρазвиваеτся иммунοлοгичесκая ρеаκция τκаневοй несοвмесτимοсτи , чτο вы-20 and the creating eye of the eyeball "hoot". However, it is necessary to squeeze the vessels and vomit, and also the veins of the veins. Otherwise, when using a homogeneous transplantation material, as a rule, an immune treatment is developed, it is immune to incompatibility
25 зываеτ в ποслеοπеρациοннοм πеρиοде вοсπалиτельные явления в сκлеρе, уχудшагошие ее уπρугие свοйсτва. Далее, для φиκ- сации сκлеρальнοй ленτы на глазнοм яблακе неοбχοдимο 4-5 эπисκлеρиальныχ швοв πο κρаям τρансπланτаτа на всем егο προτяжении , чτο вызываеτ значиτельную τρавмаτизацию сκле-25 is called in the aftermath of an intercourse in the presence of inflammatory phenomena in the region, which worsen its other properties. Further, to fix the scleral tape on the eyeball, 4–5 surgical seams are required at the edges of the transplant for the entire course of the operation, which causes a significant strain
30 ρы. Κροме τοгο, κοнсеρвация, χρанение дοнορсκοгο маτеρиа- ла τρебуеτ значиτельныχ эκοнοмичесκиχ заτρаτ , связанныχ с ορганизацией банκοв для τρансπланτациοнныχ ορганοв.30 ρы. Otherwise, the acquisition, the storage of the donated material will require significant economic costs associated with the organization of banks for the transplantation.
Β насτοяшее вρемя и звесτен τρансπланτаτ (зυ, Α, 4549529 πρедсτавляюший сοбοй эласτичную ленτу с ηοдушечκοй , наποл-Β The current time and the standard of the transplanter (υυ, Α, 4549529, which represents a flexible tape with a, душ на на на л
35 няемοй вοздуχοм, κοτορая наκладываеτся на маκуляρную οб- ласτь глазнοгο яблοκа, для наτяжения, уκορачивания и сдав- - 2 -With 35 hired air, it is superimposed on the macular area of the eyeball, for tensioning, shortening and handing over - 2 -
ливания глаза в πеρедне-заднем наπρавлении с целью уменьше- ния миοπии.eye drainage in the anteroposterior direction in order to reduce myopia.
Уκазанный τρансπланτаτ мοжеτ быτь изгοτοвлен из любο- 5 гο φизиοлοгичесκи πеρенοсимοгο маτеρиала: дοнορсκοй сκлеρ- нοй τκани, τκанοгο ποлиэсτеρа, силиκοна или силиκοнοвοгο маτеρиала и шелκа.The indicated transplanter can be made from any of the 5th physiologically portable materials: a chronic skeletal tissue, strong tissue, or tissue.
Βοзмοжнοсτь изгοτοвления τρансπланτаτа и з Саοлοгичес- κи πеρенοсимοгο маτеρиала, исκлючаюшегο ρазвиτие иммунο-ал-The possibility of manufacturing a transplant and the self-adaptive material, excluding the development of immune-al
10 леρгичесκοй ρеаκции , являеτся несοмненным πρеимушесτвοм τа- κοгο τρансπланτаτа πο сρавнению с извесτными , изгοτавлива- емыми из дοнορсκοгο маτеρиала. Οднаκο κοнсτρуκτивнοе вы- ποлнение τρансπланτаза, ηρедлагаемοгο в уκазаннοм πаτенτе , весьма слοжнο, а наличие надувнοй ποдушечκи , τοлшина κοτο-10 LEGAL REACTIONS, is an unambiguous process of trying to compare with the known, made from a commercial material. The one-sided performance of the transplant, which is offered in the indicated patent, is very complicated, and the presence of an inflatable cushion, the height of the cortex
15 ροй не мο&еτ κοншροлиροваτься визуальнο πρи οсушесτвлении οηеρации, мοжеτ πρивесτи κ излишнему οдавливанаю сοсудис- шο-неρвнοгο ηучκа глазнοгο яблοκа. Далее, πρедлагаемοе φиκ- сиροвание τρансπланшаτа с ποмοшью πлοсκοй ленτы мοшτ выз- вашь либο дοποлниτельные сκладκи τρансπланτаϊа и сдавлиΕа-15 You must not end up visually impaired, or you may be overwhelmed by unnecessarily squeezing the vessel of the eye. Further, the proposed version of the expansion of the platform with the help of a flat ribbon can be called up for any additional folding of the platform and compression
20 ние глазнοгο яблοκа или смещение τρансπланшаτа πο ηοвеρχ- нοсτи сκлеρы глазнοгο яблοκа. Κροме τοгο, е ηοмοшью τρан- сπланτаτ-а, οπисаннοгο в ηашенτе СШΑ, вοзмοκнο лишь умень- шаτь сτеπень близορуκοсτи за счеτ πеρедне-заднегο ρазмеρа глазнοгο яблοκа.20 eyeball or dislocation of the transplant on the palpebral fundus of the eyeball. Apart from that, by the means of the transplant, described in the United States, it is only possible to reduce the degree of proximity to the eye due to a slight loss of eye.
25 Ρасκρыτие изοбρеτения25 DISCLOSURE OF THE INVENTION
Β οснοву насшοяшегο изοбρеτения ποлοжена задача πу- τем изменения κοнсτρуκции сοздаτь τаκοй эκсπланτаτ для χи- ρуρгичесκοгο уκρеπления деφορмиροваннοй сκлеρы глазнοгο яблοκа, κοюρый бы не πρивοдил κ наρушению τροφиκи глаз-For the most part, the present invention has been tasked with changing the design to create such an implant in order to prevent an enlarged eye.
30 нοгο яблοκа и имел бы бοлее προсшοе κοн τρуκшивнοе выηοл- нение.30 foot apple and would have had a better off-hand execution.
Эτа задача ρешаеτся τем, чτο в эκсπланτаτе для χиρуρ- гичесκοгο уκρеπления деφορмиροваннοй сκлеρы глазнοгο яб- лοκа, πρедсτавляющем сοбοи ποвязκу, выποлненную из синше-This problem is solved in that, in the plan for the surgical treatment of ocular sclerosis, which is associated with an ocular rupture, due to the incidence of a lesion,
35 τичесκοгο φазиοлοгичесκи πеρенοсимοгο τеκсτильнοгο сеτча- τοгο маτеρиала, наκладываемую на сκлеρу глазнοгο яблοκа - 3 -35 synthetic phytosilicon resistive net material laid on the sclera of the eyeball - 3 -
в сοοτвеτсτвин с заявляемым изοбρеτенаем, ποвязκа выποлне- на в виде шаροвοгο ποяса сο сφеρачесκοй ποвеρχнοсτью, диа- меτρ κοτοροгο с οοτвеτсτвуеτ диамеτρу глазнοгο яблοκа в οб- 5 ласτи налοвения ποвязκи, или ποвязκа имееτ звездοοбρазную φορму с уτοлшенным сφеρичесκим це нτρальньм учасτκοм, наκ- ладываемым на деφορмиροванную οбласτь сκлеρы глазнοгο яб- лοκа, πρи эτοм вοгнуτοсτь сφеρичесκοй лοвеρχнοсτи ποвязκи сοοτвеτсτвуеτ κρавизне глазнοгο яблοκа. 10 Исποльзοвание πρедаагаемοгο эκсπланτаτа ποзвοляеτ уκ- ρеπляτь деφορмиροванные учасшκи сκлеρы πρи προгρессиρуюшей миοπии, ποсτшρавмаτичесκаχ сτаφилοмаχ а ρазρываχ сκлеρы, не наρушая πρа эшοм τροφиκу-глазнοгο 'яблοκа.in the claimed sοοτveτsτvin izοbρeτenaem, ποvyazκa vyποlne- on a shaροvοgο ποyasa sο sφeρachesκοy ποveρχnοsτyu, dia- meτρ κοτοροgο with οοτveτsτvueτ diameτρu glaznοgο yablοκa in οb- 5 lasτi nalοveniya ποvyazκi or ποvyazκa imeeτ zvezdοοbρaznuyu φορmu with uτοlshennym sφeρichesκim tse nτρalnm uchasτκοm, bias towards naκ- to the deformable region of the eye clera sclera, and, therefore, curvature of the ligament of the eye is bent. 10 Isποlzοvanie πρedaagaemοgο eκsπlanτaτa ποzvοlyaeτ uκ- ρeπlyaτ deφορmiροvannye uchasshκi sκleρy πρi προgρessiρuyushey miοπii, ποsτshρavmaτichesκaχ sτaφilοmaχ and ρazρyvaχ sκleρy not naρushaya πρa eshοm τροφiκu-glaznοgο 'yablοκa.
Пρедлагаемая κοнсшρуκция эκсπланшаша οбесπечиваеш сша- 15 бильнοе ποлοжение егο на сκлеρе глазнοгο яблοκа.The proposed operation of the experimental plan will ensure that we have a 15-storey location on the side of the eyeball.
Дальнейшие цели д . πρеимушесτва насшοяшегο изοбρеτения сτануτ ποняшны из ποследушегο ποдροбнοгο οπисания эκсπлан- τаτа для χиρуρгичесκοгο уκρеπления деφορмиροваннοм сκлеρы глазнοгο яблοκа и чеρτежей, на κοшορыχFurther objectives The inventions of the present invention will be removed from the foregoing descriptions of the experimental plan for the purpose of obtaining a better, better
20 Κρашκοе οπисание чеρτежей φиг.Ι изοбρажаеш эκсπланτаш , сοгласнο заявляемсму изοбρеτени ю, имеющин вид шаροвοгο ποяса; φиг.2 изοбρажаеτ эκсπланτаτ , сοгласнο заявляемοму изοб ρеτению, имеюшай звездοοбρазную φορму; 25 φиг.З сχемаτичнο и зοбρажаеτ ρасποлοжение эκсπланτаτа, ποκазаннοгο на φиг. Ι, на глазнοм яблοκе.20 DETAILED DESCRIPTION OF DRAWINGS FIG. Ι Dispatch an express plan, according to the claimed invention, having the form of a ball zone; Fig. 2 illustrates an implant according to the claimed invention, having a star shape; 25 FIG. 3 For a quick and convenient use of the implant shown in FIG. Ι, on the eyeball.
Ιучшии ваρианτ οсушесшвления азοбρешения Заявляемьга в насшοяшем изοбρешении эκсπланшаш для χиρуρгичесκοгο уκρеπления деφορмиροваннοй сκлеρы глазнοгο 30 яблοκа выποлнен из синшешичесκοгο φизиοлοгичесκи πеρенοси- мοгο шеκсшильнοгο машеρиала. Β κачесшве шеκсшильнοгο маше- ρиала мοзεеш исποльзοвашься κаκ шκанοе, шаκ и вязаннοе πο- лοшнο, имеюшее сешчашую сшρуκшуρу. Пелесοοбρазнее исποль- зοвашь вязаннοе ποлοшнο. Пρедποчшиш ельнο, чτοбы ρазмеρ 35 ячееκ τκани не πρевышал 4 мм. Исποльзуемый τеκсшильныи маτеρиал не дοлжен и зменяτь свοи ρазмеρы πρи πρилοΕении - 4 -The best option for reducing the cost of the claim of the present invention is to increase the risk of ocular enlargement and increase the risk of ocular Аче First of all, you use the machine as you would for a shack, a shack and a knitted good, which had a sshushuyu shrushuu. You can use knitwear for better use. It is preferable that a size of 35 cells does not exceed 4 mm. The used material is not required to change its size and application. - 4 -
нагρузοκ, меныπиχ ρазρывныχ. Κροме шοгο, исποльзуемый шеκ- сшильный машеρал дοл&ен бышь эласшичным.load, change the load. Κροme shοgο, isποlzuemy sheκ- sshilny masheρal dοl & en bysh elasshichnym.
Τеκсшильный машеρиал, выбρанный для изгοшοвления за- 5 являемοгο эκсπланшаша, дοл&ен выдеρживашь без деφορлации сτеρилизацию, οсушес вляемую πρи τемπеρашуρе πлюс Ι2Ι°С и давлении 15 ашм в шечение не менее 30 минуш. Ηазванный шеκ- сшильныδ машеρиал мοжеш быτь изгοшοвлен из шаκаχ изΕесшныχ синшешичесκиχ φизиοлοгичесκи ηеρенοсимыχ нишей, κаκ, наπρи-An expansive machine, selected for the sake of extinguishing 5, is an expansion plan, you can endure without styling, dried at a temperature of at least 30 ° C and at least 15 min. The aforementioned shekilochnyδ machine can be made from shaqahs of sinshessicheskie physical physiological niche, like, on the contrary
10 меρ, ποлиэφиρные, φшορуглеροдные .10 meld, solid, carbonized.
Τοлшина выбρаннοгο шеκсшильнοгο машеρиала не бοлее 0,4 мм.The largest selected large machine is no more than 0.4 mm.
Βыποлнение эκсπланшаша в сοοшвешсшвии с заявляемым изοбρешением из названнοгο шеκсшильнοгο машеρиала ποзвοля-An extension of the plan in the case of Sweden with the claimed invention from the aforementioned billing machine
15 еш сοздавашь на πашοлοгичесκи деφορмиροваннοм глазнοм яблο- κе уπρугий κаρκас, уκρелляюший сκлеρальную οбοлοчκу. Благο- даρя заявляемсму изοбρеτению уκρеπление деφορмиροваннοй сκлеρы προисχοдиш за счеш сшимулиροвания προлиφеρашивннχ προцессοв в сκлеρе глазнοгο яблοκа в месше налοжения эκс-15 you have already handed over to a parsimonious defective eyeball for a good eye, which corrects the cleansing. Thanks to the invention, an improvement in the incidence of malformations due to the incidence of an incidence of incidence of ocular maladies has been observed
20 πланшаша, имеюшегο сешчашую сτρуκτуρу. Пρи эτοм ποлнοсшью исκлючаешся в ποслеοπеρациοнный πеρиοд явление шκаневοй несοвмеοшимοсτи, вοсηалишельные явления в сκлеρе , уχудшаю- шие ее уπρугие свοйсшва, и шοκсичесκοе вοздейсшвие на οκ- ρу&аюπше шκани .20 Planchesha, which is now sashchashoy structure. With this, the complete exclusion is the result of a shielded incompatibility, the greater, the better, the worse, the better
25 Заявляемый в насшοяшем изοбρешении эκсπланшаш мοясеш имешь вид шаροвοгο ποяса I (φиг. Ι) сο сφеρичесκοй ποвеρχ- нοсшью с шем, чшοбы сοвеρшеннο исκлючишь сдавливание κρο- венοсныχ сοсудοв и наρушение шροφиκи глазнοгο яблοκа вο вρемя сκлеροуκρеπляюшиχ οлеρациδ с ποмοшью эκсπланшаша в25 nasshοyashem claimed in izοbρeshenii eκsπlanshash mοyasesh imesh view shaροvοgο ποyasa I (φig. Ι) sο sφeρichesκοy ποveρχ- nοsshyu with Shem, chshοby sοveρshennο isκlyuchish squeezing κρο- venοsnyχ sοsudοv and naρushenie shροφiκi glaznοgο yablοκa vο vρemya sκleροuκρeπlyayushiχ οleρatsiδ with ποmοshyu in eκsπlanshasha
30 виде шаροвοгο ποяса I, диамешρ эшοгο шаροвοгο ποяса I вы- биρаешся в шοчнοм сοοшΕешсшвии с диамеτροм глазнοгο яблο- κа в οбласши налοκеная эκсπланшаша. Исποльзοвание эκсπлан- шаша в виде шаροвοгο ποяса I сο сφеρичесκοй ποвеρχнοсшью, вοгнушοсшь κοшοροй сοοшвешсшвуеш κρивизне глазнοгο яблοκа,30 type of ball belt I, diameter of the ball and ball I, you will find yourself in a good condition with a diameter of the eyeball in the open nose. The use of an e-plan in the form of a ball zone I is completely sporadic, worsening the abnormal condition of the eyeball,
35 сηοсοбсшвуеш πлοшнοму πρилеганию эκсπланшаша κ сκлеρе глазнοгο яблοκа, исκлючая πρи эшοм сдавливание κροвенοс- - 5 -35 ssobsobshvuesh with the best privilege of excision of the planus after the eyeball, excluding πprespect to squeezing the venous - 5 -
ныχ сοсудοв и неρвοв.of ships and concessions.
Для уκρеπления заявляемοгο эκсπланτаτа на глазнοм яб- лοκе дοсτашοчен οдин эπисκлβρиальный шοв, φиκсиρуκжшй сшы- 5 κу-οшиеся κοнш шаροвοгο παяса I.To accelerate the claimed implant on the eyeball, there is one more complete seam, a fixed suture - 5 small ones I.
Сφеρичесκая φορма'Εοвеρχнοсши шаροвοгο ποяса I, в ви- де κοшοροгο выποлняешся эκсπланшаш , сοгласнο насшοясιему изοбρеτенаю, πρидаеτся сποсοбοм шеρлοφиκсацви τеκсτильнοгο сеτчашοгο машеρала на сφеρичесκοй ποвеρχнοсши сοοшвешсш-Sφeρichesκaya φορma 'Εοveρχnοsshi shaροvοgο ποyasa I, in vi- de κοshοροgο vyποlnyaeshsya eκsπlanshash, sοglasnο nasshοyasιemu izοbρeτenayu, πρidaeτsya sποsοbοm sheρlοφiκsatsvi τeκsτilnοgο seτchashοgο masheρala on sφeρichesκοy ποveρχnοsshi sοοshveshssh-
10 веннο ρазмеρам οπеρиρуемοгο глазнοгο яблοκа. Τеρмοφиκсацию вοзмοжнο οсущесшвляτь в сушильнο-сшабили зациοннοм шκаφу πρи шемπеρашуρе 200°С в шечение 10 минуш .10 venous sizes of ophthalmic eyeball. It is possible to carry out the storage in a drying-and-swap cabinet with a protected cabinet and a temperature of 200 ° C for 10 minutes.
Эκсπланшаш, имегощий вид шаροвοгο ποяса, целесοοбρазнο азгοшавляшь в виде οшρезκοв ленш шиρвнοй 10 мм, 13 мм,The expansion plate, which has the appearance of a ball belt, is conveniently sewn in the form of out-flanks with a wide width of 10 mm, 13 mm,
15 15 мм.15 15 mm.
Βыбορ шиρины леншы эκсπланшаша зависиш οш ρазмеρа οπе- ρиρуемοгο глазнοгο яблοκа и лοκали зациа деφορмаροваннοй ρасшянушοй сκлеρы. Пρа эκвашορиальнοм исшοнчении и ρасшя- нушοсши сκлеρы целесοοбρазнο исποльзοвашь эκсπланшаш в ви-The width of the lenshy eksplanshasha depends on the size of the eyeball and the zacia of the deformed sclera is localized. For the eternal exhaustion and for the most part, it is convenient to use an electronic plan in the form of
20 де шаροвοгο ποяса шиρинοй 10 мм. Β случаяχ деφορмиροваннοй, ρасшянуτοй сκлеρы в заднем οшделе глазнοгο яблοκа ποκазанο πρименение эκсπланшаша с шиρинοй шаροвοгο ποяса 13 мм и 15 мм.20 December Ballast 10 mm wide. In cases of defective, enlarged sclera in the back section of the eyeball, the use of an excision pad with a wide ball of 13 mm and 15 mm is indicated.
Для χиρуρгичесκοгο лечения миοπии слабοй и сρеднейFor the healing treatment of weak and medium myopia
25 сшеπени, а шаκ е πρи πашοлοгичесκиχ измененияχ в заднем οш- деле глазнοгο яблοκа в маκуляρнοй οбласша целесοοбρазнο исποльзοвашь эκсπланτаτ 2 (φиг.2) , имеκпшй звездοοбρазнуго φορму с уτοлшенным сφеρичесκим ценτρальнъм учасτκοм 3 (φиг.2) , наκлацываемым на деφορмиροванную οбласτь сκлеρы.25 ssheπeni and shaκ e πρi πashοlοgichesκiχ izmeneniyaχ the rear case οsh- glaznοgο yablοκa in maκulyaρnοy οblassha tselesοοbρaznο isποlzοvash eκsπlanτaτ 2 (φig.2) imeκpshy zvezdοοbρaznugo φορmu with uτοlshennym sφeρichesκim tsenτρalnm uchasτκοm 3 (φig.2) naκlatsyvaemym on deφορmiροvannuyu οblasτ sκleρy.
30 Пρи эτοм вοгнушοсшь сφеρичесκοй ποвеρχнοсши эκсπланшаша дοлжна сοοшвешсшзθΕа ь κρивизне глазнοгο яблοκа.30 At the same time, there is an inconceivable discomfort in the presence of the erectile dysplasia in the eyes of the eye.
Заявляемый эκсπланшаш в виде звездοοбρазнοй ποвязκи сοдеρжиш не менее шρеχ ποлοс 4 (φиг.2) , исχοдяшиχ из егο ушοлшеннοгο ценшρальнοгο учасшκа 3. Пρи эшсм ποлοсы 4 вThe claimed experimental plan in the form of a starbase connection is at least shorter than 4 (Fig. 2), arising from its improved general education 3. For the fourth major
35 προдοльнοм и ποπеρечнοм наπρавленияχ и ценшρальный учас- шοκ имеюш κρивизну заднегο οшдела глазнοгο яблοκа. Τοл- - 6 -35 direct and specific directions and the central part has a great deal of rear view of the eyeball. Τοл- - 6 -
шина ценшρальнοгο учасшκа 3 эκсπланшаша бοльше τοлπшны лю- бοй ποлοсы 4. Ηаличие несκοльκиχ лοлοс 4, не менее шρеχ, οбуслοвленο неοбχοдимοсшью сшабальнοгο уκρеπления сκлеρы 5 глазнοгο яблοκа в заданнοм наπρавлении, шаκ κаκ οднοποлοс- ные шρансπланшашы амеюш шенденцию κ сκοльΕению и οбρазοва- нию дοποлнишельныχ сκладοκ на сκлеρе. Деншρальный учасшοκ 3 эκсπланшаша 2 ρасποлагаюш в οбласши наибοлее ρасшянушοй и исшοнченнοй сκлеιж в заднем ποлюсе глазнοгο яблοκа.tire tsenshρalnοgο uchasshκa 3 eκsπlanshasha bοlshe τοlπshny lyu- bοy ποlοsy 4. Ηalichie nesκοlκiχ lοlοs 4, at least shρeχ, οbuslοvlenο neοbχοdimοsshyu sshabalnοgο uκρeπleniya sκleρy 5 glaznοgο yablοκa in zadannοm naπρavlenii, shaκ κaκ οdnοποlοs- nye shρansπlanshashy ameyush shendentsiyu κ sκοlΕeniyu and οbρazοva- NIJ dοποlnishelnyχ sκladοκ on the stick. Kindergarten 3 eksplanshasha 2 I offer in most of the most ryshanushy and deteriorated adhesion in the posterior pole of the eyeball.
10 Κаκ и эκсπланшаш, имеюшвй вид шаροвοгο ποяса, шаκ и звездοοбρазный эκсπланшаш ποдвеρгаюш шеρмοφиκсации в услο- вияχ, аналοгичныχ уκазаннш выше, с целью дοсшижения вοгну- шοсши сφеρичесκοй ποΕеρχнοсши эκсπланшаша, сοοшвешсшвующей κρивизны глазнοгο яблοκа. Ηеποсρедсшвеннο πеρед οπеρацией10 and Κaκ eκsπlanshash, imeyushvy view shaροvοgο ποyasa, and shaκ zvezdοοbρazny eκsπlanshash ποdveρgayush sheρmοφiκsatsii in uslο- viyaχ, analοgichnyχ uκazannsh above to dοsshizheniya vοgnu- shοsshi sφeρichesκοy ποΕeρχnοsshi eκsπlanshasha, sοοshveshsshvuyuschey κρivizny glaznοgο yablοκa. Conducted by the operating
15 - χиρуρгичесκим уκρеπлением деφορмиροваннοй сκлеρы глазнο- гο яблοκа, эκсπланшаш ποдвеρгаюш сшеρилизации. Сшеρилизация эκсπланшаша οсушесшвляешся πο οбычнοй мешοдиκе в авшοκлаве, наπρимеρ, 20 минуш πρи шемπеρашуρе Ι2Ι°С и давлеши 15 ашм. Κοличесшвο циκлοв сшеρилизации οбычнο не πρевышаеш шρеχ.15 - an accelerated enlargement of a defective ocular sclera, an ecclesiastus is double-sided with more detailed stylization. Serialization of the experimental plan is completely normal in the autoclave, for example, 20 minus и and ем π С С 2 ° C and a pressure of 15 ashm. Most of the cycles of standardization are usually not higher.
20 Для уκρеπления сκлеρы заднегο οшдела глазнοгο яблοκа эκсπланшаш, имеюпшδ вид шаροвοгο ποяса I, προвοдяш ποд πρя- мыми 5 (φиг. 3) и нижней κοсοй 6 (φиг.З) мышцами глаза. За- шем эκсπланшаш в виде шаροвοгο ποяеа I ρасπлавляюш на глаз- нοм яблοκе 7 и уκρеπляюш. Φиκсацию эκсπланшаша на глазнοм20 To enhance the back creep, the eyeball was excised, having a view of the ball of the first I, the posterior muscle 5 (fig. 3) and the lower eye 6 (). Then we give an e-plan in the form of a ball, I I fuse to the eyeball 7 and make it easier. Facial ekslanshasha on the eye
25 яблοκе 7 οсущесшвляюш с ποмοшью вοздушныχ πешель 8 (φиг .З) , πρедусмοшρенныχ πο οбοим προдοльным κρаям леншы шаροвοгο ποяса I, и с πсмοтью οднοгο эπисπлеρиальнοгο шва 9 φиг.З) , κοшορым сшягиваюш эκсπланшаш Ε за?лκнушый шаροвοй ποяс I. Шοвнοй нишью, πρедваρишельнο προведеннοй чеρез вοздушные25 yablοκe 7 οsuschesshvlyayush with ποmοshyu vοzdushnyχ πeshel 8 (φig h) A, πρedusmοshρennyχ πο οbοim προdοlnym κρayam lenshy shaροvοgο ποyasa I, and πsmοtyu οdnοgο seam eπisπleρialnοgο φig.Z 9) κοshορym sshyagivayush eκsπlanshash Ε for? Lκnushy shaροvοy ποyas I. Shοvnοy nishyu π double-air through air
30 πешли 8 προдοльныχ κρаев леншы шаροвοгο лοяса I, зашягива- юш эκсπланшаш у заднегο ποлюса глазнοгο яблοκа 7 οκοлο зρи- шельнοгο неρва и маκуляρнοй οбласши.30 Decided 8 κ κ ен ρ ρ ρ ρ ρ ρ ρ ρ ρ ρ ρ ρ ρ ρ,,,,,,,,,,,, ρ ρ 8 8 8 8 8 8 8 8 8 8 8 8 8.
Βследсшвие шοгο, чшο φορма шаροвοгο ποяса I исποльзу- емοгο эκсπланшаша близκа κ φορме заднегο οшдела глазнοгοA follow-up, which is more common with zone I, is used by a close proximity to the posterior eye section.
35 яблοκа 7, эκсπланшаш ρавнοмеρнο без мορшин οблегаеш глаз- нοе яблοκο 7 οш зρишельнοгο неρва дο месτа πρиκρеπления - 7 -35 apple 7, eksplanshash equally without mugs, lighten the eyeball 7 of the other interesting nausea before the place of use - 7 -
глазοдвигашельныχ мыпщ.eye movement
Пρи исποльзοваниа эκсπланшаша, имеюшегο звездοοбρазную φορму , егο уκρеπление на деφορмиροваннοй сκлеρе глазнοгο яблοκа οсушесшвляюш следуюπшм οбρазοм : все πρямые мыπщы глаза οшвοдяш и ποд ними προвοдяш οшвοдяπше цугельнашные швы; эκсπланшаш προвοдяτ ποд нижней κοсοй мышцеδ; ценшρаль- нъш учасτοκ эκсηланшаτа уκладываюτ в месτе сκлеρы наибοлее исτοченнοй и ρасшянушοй, не шρавмиρуя зρи ельный неρв; πο- лοсы, исχοдяπше из ценшρальнοгο учасшκа, ποсле наτяжения и πлοшнοгο ηρилегания κ сκлеρе уκρеπляюш П-οбρазными эπи- сκлеρиальными швами .With the use of an eksplanshasha, which has a star-shaped shape, it is strengthened by a deformity of the ocular apple with the following: one of the most common: eksplanshash rypododyat in front of the lower oblique muscleδ; the central part of the ex-site is laid in the place of the sclera, which is the most outdated and the most insane, without damaging the visual indigestion; Obliques arising from the mainstream school, after tension and good tension, since they are secured by the use of semicircular seams.
Ηаличие несκοльκиχ ποлοс (не менее шρеχ) οбесπечава- еш ρавнοмеρнοе наτяκение эκсπланшаша на сκлеρе заднегο πο- люса глазнοгο яблοκа. Κρивизна ценшρальнοгο учасшκа сποсοб- сτвуеш πлοшнοму πρилеганию без сκладοκ эκсπланшаτа κ ποвеρχ нοсши сκлеρы. Пρи исποльзοванни заявленнοгο эκсπланшаша не οшмеченο сдавливания вορшиκοзныχ вен и неρвοв, κοшορые οс- шаюшся мевду ποлοсами эκсπланшаша. Пοлοсы эκсπланшаτа мοκ- нο ρасποлοΕИшь κаκ в προдοльнοм , шаκ и в меρидианальнοм наπ ρавленияχ, где πашοлοгичесκий προцесс ρасτяжения сκлеρы наибοлее выρажвн.There is a small margin (no less than a wide margin) that ensures an equal extension of the planus on the posterior cleft of the posterior oculus of the eye. The beauty of the valuable school is safe and easy to pay without the addition of an e-mail account. When using the declared eXplanchash, it is not noticeable to squeeze the large veins and neurons, which are well-known to mews of the eksplanshash. The area of the expansion of the boat is very wide, just like in the general, in the same way as in the median direction, where the maximum load-bearing process is the highest.
Уκρеπление сκлеρы πρи исποльзοвании заявляемοгο эκс- πланшаша дοсшигаешся не за счеш уπρугиχ свοйсшв эκсπланша- ша, а за счеш сшимулиροвания προлиφеρашивныχ προцессοв в сκлеρе, вследсшвие чегο сοзданы вοзмοжнοсши φиκсиροвания эκсπланшаша на сκлеρе без давления на нее. Именнο эшим исκлΕσчаешся сдавливание κροвенοсныχ сοсудοв и неρвοв глаз- нοгο яблοκа. Μедиκο-биοлοгичесκие исπышания эκсπланшаша были προ- ведены на 60 глазаχ κροлиκοв ποροда "шиншила" 2-х месяч- нοгο вοзρасша.Uκρeπlenie sκleρy πρi isποlzοvanii zayavlyaemοgο eκsπlanshasha dοsshigaeshsya not for schesh uπρugiχ svοysshv eκsπlanshasha and for schesh sshimuliροvaniya προliφeρashivnyχ προtsessοv in sκleρe, vsledsshvie chegο sοzdany vοzmοzhnοsshi φiκsiροvaniya eκsπlanshasha on sκleρe no pressure on her. It is for this reason that squeezing of the vessels of the vessels and the occlusion of the eyeball is impossible. Biological studies of the experimental plan were carried out for 60 eyes at the expense of the "chinchilla" of 2 months old.
Чеρез 6 месяцев ποсле χиρуρгичесκοгο уκρеηления сκле- ρы глазнοгο яблοκа вοκρуг эκсπланшаша наблюдали ушοлшение сκлеρнοй шκани , чшο οбъясняешся προρасшанием вοлοκοн сκле- ρы мезду ячейκами шеκсшильнοгο сешчашοгο эκсπланшаша, οсу- - 8 -After 6 months, after a sharp increase in the abnormality of the eye with an eyeglobe, an extraplanar was observed, but the increase was much higher - 8 -
шесшвляюшегο ροль κаρκаса. Чеρез гοд сκлеρа была ρавнοмеρ- нο ушοлшена в мес ше πρебывания эκсπланшаша, чшο ποдшвеρж- даешся гисшοлοгвчесκима асследοваниями. Β шечение 7-10 дней ποсле эκсπланшации наблюдалась смешанная κοнъюнκшивальная инъеκция. Пρи οφшальмοсκοπии в шечение 6-месячнοгο наблюдения ни в οднοм οπеρиροваннοм глазу не былο οшмеченο πρизнаκοв ишемии, сдавливания вορши- κοзныχ вен а зρишельнοгο неρва. Ηи у οднοгο живοшнοгο не былο выявленο шκаневοй несοвмесшимοсша.sixth place After a year, the sclera was equally improved in the month after the expiration of the e-plan, and more than that, the result was a complete investigation. Over a period of 7–10 days, after an expansion, a mixed conjunctival injection was observed. In the event of a 6-month follow-up, there was no noticeable sign of ischemia or compression of the veins in the other eye in a single eye that was not observed. And one of the living was not revealed shkanevoy unbalanced United States.
Гаешοлοгичесκие исследοвания προведены ? сροκи: 7,14 днеδ; 1,3,6 месяцев и I гοд ποсле οπеρации 48 эκсπеρимен- шальныχ глаз и 12 κοншροльныχ иншеκшныχ πаρныχ глаз живοш- ныχ. Энуκлеиροванные глаза φиκсиροвались в ΙΟ^-нοм нейш- ρальнοм φορмалине. Ηеллοадинοвые сρезы οκρашивали сь гема- шοκсалинэοзинοм.Has GAE research been carried out? sροκ: 7.14 days δ; 1,3,6 months and I year after the operation of 48 extra-specialized eyes and 12 extra-ordinary extra-paired eyes of the living. Enucleated eyes were fixed in a newest real raspberry. Cellular cuts overshadowed hema-shoxalineosin.
Ρезульшашы гиешοлοгичесκиχ исследοваний сρезοв энуκ- леиροванныχ глаз чеρез 7 сушοκ ποсле эκсπланшации ποκаза- ли умеρенную ρеаκцию сο с шοροны сκлеρы в виде сκοπления гисшиοцишοв и маκροφагοв вοκρуг шеκсшильнοгο сешчашοгο ма- шеρаала. Сπусшя месяц ποсле οπеρации в месшаχ πρилегания эκсπланшаша в сκлеρе глазнοгο яблοκа οшмечалοсь сκοπление мнοгοядеρныχ κлешοκ, ποлибласшοв и мοлοдыχ φибροбласшοв. Ηа προτяжении ποследуюпшχ 3 месяцев φибροблас ичесκие κлеш- κи и οшдельные πучκи κοллагенοвыχ вοлοκοн προниκаюш мевду ячейκами эκсπланшаша. Чеρез 6 месяцев вοκρуг сешчашыχ эле- меншοв эκсηланшаша наблюдалοсь ушοлшение сκлеρальнοй шκа- ни. Эτοш φаκш οбъясняешся προρасшанием вοлοκοн сκлеρы ме&- ду ячейκами шеκсшильнοгο сешчашοгο эκсπланшаша. Чеρез гοд сκлеρа была ρавнοмеρнο ушοлшена в месше πρебывания эκсπлан- шаша.Resolves of the disease in the form of an overstaying of the disease have been completed, after 7 expansions, after the removal of the enlargement The month after the operation in the month, the privileges of an expansive apple in the case of an eyeball noted the accumulation of many flashbacks, small bugs and small ones. For the next 3 months, excellent flash and separate handles of all-round waves are carried out by the cells of the tablet. After 6 months around Seshchashy elekshenshov eksnlanshasha was observed an improvement in the skeletal scale. This fact is explained by the expansion of the skeleton of me and the cells of the most popular e-mail. After a year, the sclera was equally improved in the absence of an eksplansha.
Τаκим οбρазοм, πρи изученаи ηροцессοв заκивления ηοс- ле аллοсκлеροπласшиκи в τечение 6 месяцев наблюденая не былο усτанοвленο ашаπичнοгο деления κлеτοκ сο сτοροны οκ- ρужаюшей шκани , ни κаκиχ-либο πρизнаκοв бласшοмοгеннοгο ροсша. Φизиκο-меχаничесκие исπышания сκлеρы сοвмесшнο с - 9 -In general, we have studied and studied the processes of inoculation after allosclerosis within 6 months; Physicomechanical studies of clera together with - 9 -
эκсπланшашοм чеρез 6 месяцев и I гοд ποсле τρансπланшации ποκазали, чшο в сρавнении сο сκлеροй πаρнοгο глаза без эκс πланшаша προчнοсшь сκлеρы с эκсπланшашοм сущесшвеннο (ποч- 5 ши в 2 ρаза) вοзροсла, а удлинение πρи нагρузκе не умень- шилοсь.an extension after 6 months and I after the expansion were shown, compared with a larger paired eye without an extension, there was an increase in this
Уκρеπление сκлеρы заднегο οшдела глазнοгο яблοκа προ- изведенο у 45 бοльныχ, сшρадаюπшχ προгρессиρуюшей миοπией οш 4,5 дο 10,0 диοπшρий, в вοзρасше οш 9 дο 27 леш. ПοчшиThe enlargement of the posterior cervical spine was affected in 45 patients, with a gradual myocardial effusion of 4.5 to 10.0, more than 27 years old. The best
10 у всеχ бοльныχ вοзнаκнοвение и προгρессиροвание миοπии наб- людалοсь с 7 леш. Пοκазанием для χиρуρгичесκοгο уκρеπления сκлеρы служили данные ο сшеπени προгρессиροΕаная миοπии бοлее 1,0 диοπшρии, увеличение πеρедне-заднегο и веρшиκаль- нοгο ρазмеροв глаза πρи ульшρазвуκοвοй биοмешρии на 1,0 мм10 in all the most recognizable and inconsequential miropii was observed with 7 leshes. A indication for a superior enlargement of the sclera was the data of a larger incidence of greater than 1.0, an increase in the anteroposterior and aperture of the anterior eye.
15 и выше, уχудшение зρишельныχ φунκций в динамиκе в шечение I гοда наблюдения.15 and above, the deterioration of entertainment functions in dynamics during the first year of observation.
Бοльπшнсшвο бοльныχ προοπеρиροваны в вοзρасше 12-14 леш: в πеρаοд наибοлее буρнοгο ροсша ορганвзма.Most of the big sicknesses were grown in 12-14 years old: in the most western Russia, there is more than one of the most common.
Ρезульшашы οπеρациа προслежены οш 2-х недель дο 3,5 леΡ уль уль уль аш ο уль уль ρ слеж слеж слеж слеж слеж слеж 2 weeks to 3.5 le
20 Ηа οснοванаи ποлученныχ ρезульшашοв выявлена смешанная κοнъюнκшивальная анъеκция ποсле эκсπланшации сκлеρы в шече- ние 5-7 днеи, κοшορая исчезла κ 14-15 дням ποсле οπеρациа . Β шечение всегο сροκа наблюдения ни у οднοгο бοльнοгο не былο οшмеченο иммуннορеаκшивнοгο вοсπаления и аллеρгичес-20 On the basis of the received results, a mixed conjunctive anesthesia was revealed after an extracellular cleft surgery within 5–7 days, after which disappeared by 14–15 days after that. At the end of the observation period, no one sick was not marked by an immuno-reactive inflammation and allergic
25 κοй ρеаκции на эκсπланшаш.25th reaction to eksplanshash.
Сπусшя 2 недели ηοсле эκсπланшации сκлеρы. уменьшение сτеπени миοπаи в сρеднем сοсшавлялο 1,5-2,0 даοπτρии ; уκο- ροчение ρазмеρа глазнοгο яблοκа οτ 0,2 дο 1,4 мм, у 60% бοльныχ - οτ 0, 1 дο 0,3. Пοсτеπеннο, чеρез 6 месяцев - 3After 2 weeks after an expansion of the clelera. the decrease in the degree of myopia in the average was 1.5-2.0; A reduction in the size of the eyeball is from 0.2 to 1.4 mm, in 60% of patients it is from 0.1 to 0.3. Gradually, after 6 months - 3
30 гοда οсτροτа зρения, ρеφρаκцая, πеρедне-задняя οсь οπеρи- ροваннοгο глазнοгο яблοκа дοс τигали τеχ же Εеличан, чτο а дο οπеρации , нο без дальнейшегο ροсша близορуκοсши на οπеρиροΕаннοм глазу.30 years of vision, retraction, anteroposterior obstruction of the ophthalmic ocularus were also increased, but furthermore,
Τаκим οбρазοм, суммиρуя вышеизлοκеннοе, мοжнο οшме-In general, summarizing the above, it is possible that
35 шишь πρеимушесшва πρедлοженнοгο эκсπланшаша, заκлючаюшие- ся: в исκлюченви иммуннορеаκшивнοгο вοсπаления, шκаневοй - 10 -35 Sew πpreimusheshva едρедκженженлженженлκκ эκ э э эед э э э э эκ э э э э элан эланланланшшшашаашаашаашаашаашааша,,,,,,::::::::::::: в::: в в в в в в в в в в иммун Excluding immunosurgical infection - 10 -
несοвмесшамοсши , уκρеπленаа сκлеρы не за счеш меχаначесκο- гο сдавливаная а уκοροченвя πеρедне-задκзл οса глазнοгο яб лοκа, а за счеш προлаφеρашввныχ προцессοв зοκρуг эκсπлан- 5 шаша в сοбсшвеннοй шκанв сκлеρы с οбρазοванаем нοвοй сκле- ρальнοй шκана вοκρуг эκсπланшаша. Эκсπланшаш οсушесшвляеш ροль κаρκаса, πο κοшοροму идеш προлиφеρаπия а ушοлшение сκлеρы. Βο вρемя προведения эκсπланшаша ποд мышцами глазнο гο яблοκа и уκρеηления эκсπланшаша - шρавмаши зация деφορ-nesοvmesshamοsshi, uκρeπlenaa sκleρy not schesh meχanachesκο- gο for squeezing and uκοροchenvya πeρedne-zadκzl οsa glaznοgο lοκa BU, and for schesh προlaφeρashvvnyχ προtsessοv zοκρug eκsπlan- 5 Shasha in sοbsshvennοy shκanv sκleρy with οbρazοvanaem nοvοy sκle- ρalnοy shκana vοκρug eκsπlanshasha. Eκsπlanshash οsushesshvlyaesh ροl κaρκasa, πο κοshοροmu go προliφeρaπiya and ushοlshenie sκleρy. At the same time, the insertion of muscles of the eyeball and the amplification of the expansion planus is a simple
10 маροванвοй и ρасшянушοй сκлеρы на маοπичесκοм глазу - мини мальная за ечеш ορигвнальнοгο сποсοба уκρеπления эκсπлан- шазга на сκлеρе. Κροме шοгο, ποд эκсπланшашοм οшеушешвуюш сдавливание κροвенοсныχ сοсудοв и неρвοв.10 small and small sclera on the mental eye - the smallest method for enhancing the acceleration of the shazge on the skeleton is the smallest for the other. Another step is to get a better squeezing of the vessels and vessels.
Сушесшвенным πρеимушесшвοм πρедлагаемοгο эκеπланшашаWe offer a real offer of an e-plan
15 являешся вοзмοжнοсшь егο сеρийнοгο выηусκа, шο есшь шиροκа дοсшуπнοсшь, исκлючаюшая неοбχοдимοсшь иеποльзοванвя сπе- цаальныχ услοвий для χρаненая. Пρедлагаемый эκсπланшаш бο- лее эκοнοмичесκи дοсшуπен πο сρавнению с- эκсπланшашοм из дοнορсκοгο машеρиала из гοмοсκлеρы.15 You can make use of its serial product, but you will have more access to it, excluding the necessary conditions for the use of it. The proposed eksplanshash more economically convenient compared to the eksplanshashom from the previous machine from the city.
20 Пροмышленная πρименамοсшь20 Deliberate
Изοбρешение наδдеш πρименение в χиρуρгаа ηροгρеесаρую шеδ близορ^κοсши, χиρуρгичесκοδ οбρабοшκе οбшиρныχ шρавма- шичесκиχ ποвρеждений и сτаφалοм еκлеρы глазнοгο яблοκа, ρазρываχ сеτчаτοй οбοлοчκа а маκуляρнοδ οбласши глаза. Izοbρeshenie naδdesh πρimenenie in χiρuρgaa ηροgρeesaρuyu sheδ blizορ ^ κοsshi, χiρuρgichesκοδ οbρabοshκe οbshiρnyχ shρavma- shichesκiχ ποvρezhdeny and sτaφalοm eκleρy glaznοgο yablοκa, ρazρyvaχ seτchaτοy οbοlοchκa and maκulyaρnοδ οblasshi eyes.

Claims

- II - ΦΟΡΜУΙΑ ИЗΟΕΡΕΤШИЯ- II - ΦΟΡΜУΙΑ ИСОШИЯ
I. Эκсπланшаш для χиρуρгичесκοгο уκρеπлени я деφορмиρο- ваннοδ сκлеρы глазнοгο яблοκа, πρедсшавляюший сοбοδ ποвязκу 5 вылοлненную аз синшешачесκοгο φизиοлοгачесκи πеρенοсимοгο шеκсшильнοгο сеτчашοгο машеρиала, наκладываемуго на сκлеρу глазнοгο яблοκа, ο ш л и ч а ю ш и й с я шем, чτο ηοвязκа выποлнена в виде шаροвοгο ποяса сο сφеρичесκοδ ποвеρχнοсшью, диамешρ κοшοροгο сοοшвешсшвуеτ диамешρу глазнοгο яблοκа в 10 οбласши налοжения ποвязκи , или ποвязκа имееш звездοοбρазнуго φορму с ушοлαιенным сφеρичесκим ценшρальным учасшκοм, наκла- дываемым на деφορмиροванную οбласшь сκлеρы, πρи эшοм вοгну- шοсшь сφеρичесκοδ ποвеρχнοсτи ποвязκи сοοшвешсшвуеш κρивиз- не глазнοгο яблοκа. I. Eκsπlanshash for χiρuρgichesκοgο uκρeπleni I deφορmiρο- vannοδ sκleρy glaznοgο yablοκa, πρedsshavlyayushy sοbοδ ποvyazκu 5 vylοlnennuyu al sinsheshachesκοgο φiziοlοgachesκi πeρenοsimοgο sheκsshilnοgο seτchashοgο masheρiala, naκladyvaemugo on sκleρu glaznοgο yablοκa, o l w and h and w and w nd with I shem chτο ηοvyazκa vyποlnena in the form of a large belt, it is generally commensurate, the diametre is very good, and the diameter of the eyeball is 10% better than the general th at deφορmiροvannuyu οblassh sκleρy, πρi eshοm vοgnu- shοssh sφeρichesκοδ ποveρχnοsτi ποvyazκi sοοshveshsshvuesh κρiviz- not glaznοgο yablοκa.
PCT/SU1988/000066 1988-03-25 1988-03-25 Element for surgical strengthening of a deformed sclera of the eyeball WO1989009034A1 (en)

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BR888807531A BR8807531A (en) 1988-03-25 1988-03-25 EXPLANATION FOR SURGICAL STRENGTHENING OF A DEFORMED EYE GLOBE SCIEROTICS
DE883891278T DE3891278T1 (en) 1988-03-25 1988-03-25 EXPLANATE FOR THE SURGICAL FASTENING OF THE DEFORMED SQUERA OF THE EYE APPLE
JP63505594A JPH02504347A (en) 1988-03-25 1988-03-25 Explants to surgically strengthen deformed sclera
PCT/SU1988/000066 WO1989009034A1 (en) 1988-03-25 1988-03-25 Element for surgical strengthening of a deformed sclera of the eyeball
GB8926540A GB2226762A (en) 1988-03-25 1989-11-24 Element for surgical strengthening of a deformed sclera of the eyeball

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* Cited by examiner, † Cited by third party
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US5465737A (en) * 1992-07-15 1995-11-14 Schachar; Ronald A. Treatment of presbyopia and other eye disorders
US5489299A (en) * 1992-07-15 1996-02-06 Schachar; Ronald A. Treatment of presbyopia and other eye disorders
US6197056B1 (en) 1992-07-15 2001-03-06 Ras Holding Corp. Segmented scleral band for treatment of presbyopia and other eye disorders
US7727544B2 (en) * 2004-05-07 2010-06-01 The Regents Of The University Of California Treatment of myopia
US7927372B2 (en) 2007-08-02 2011-04-19 Refocus Group, Inc. Scleral prosthesis having crossbars for treating presbyopia and other eye disorders
US8337550B2 (en) 2006-07-11 2012-12-25 Refocus Ocular, Inc. Scleral prosthesis for treating presbyopia and other eye disorders and related devices and methods
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US8663206B2 (en) 1992-07-15 2014-03-04 Refocus Ocular, Inc. Laser procedure for treatment of presbyopia and other eye disorders
US7727544B2 (en) * 2004-05-07 2010-06-01 The Regents Of The University Of California Treatment of myopia
US9452044B2 (en) 2006-07-11 2016-09-27 Refocus Group, Inc. Scleral prosthesis for treating presbyopia and other eye disorders and related devices and methods
US9717588B2 (en) 2006-07-11 2017-08-01 Refocus Group, Inc. Scleral prosthesis for treating presbyopia and other eye disorders and related devices and methods
US8337550B2 (en) 2006-07-11 2012-12-25 Refocus Ocular, Inc. Scleral prosthesis for treating presbyopia and other eye disorders and related devices and methods
US8911496B2 (en) 2006-07-11 2014-12-16 Refocus Group, Inc. Scleral prosthesis for treating presbyopia and other eye disorders and related devices and methods
US11273028B2 (en) 2006-07-11 2022-03-15 Refocus Group Inc. Scleral prosthesis for treating presbyopia and other eye disorders and related devices and methods
US9486310B2 (en) 2006-07-11 2016-11-08 Refocus Group, Inc. Scleral prosthesis for treating presbyopia and other eye disorders and related devices and methods
US9498324B2 (en) 2006-07-11 2016-11-22 Refocus Group, Inc. Scleral prosthesis for treating presbyopia and other eye disorders and related devices and methods
US9504559B2 (en) 2006-07-11 2016-11-29 Refocus Group, Inc. Scleral prosthesis for treating presbyopia and other eye disorders and related devices and methods
US9687339B2 (en) 2006-07-11 2017-06-27 Refocus Group, Inc. Scleral prosthesis for treating presbyopia and other eye disorders and related devices and methods
US9700406B2 (en) 2006-07-11 2017-07-11 Refocus Group, Inc. Scleral prosthesis for treating presbyopia and other eye disorders and related devices and methods
US8409277B2 (en) 2006-07-11 2013-04-02 Refocus Ocular, Inc. Scleral prosthesis for treating presbyopia and other eye disorders and related devices and methods
US9730785B2 (en) 2006-07-11 2017-08-15 Refocus Group, Inc. Scleral prosthesis for treating presbyopia and other eye disorders and related devices and methods
US10285804B2 (en) 2006-07-11 2019-05-14 Refocus Group, Inc. Scleral prosthesis for treating presbyopia and other eye disorders and related devices and methods
US10485653B2 (en) 2006-07-11 2019-11-26 Refocus Group, Inc. Scleral prosthesis for treating presbyopia and other eye disorders and related devices and methods
US7927372B2 (en) 2007-08-02 2011-04-19 Refocus Group, Inc. Scleral prosthesis having crossbars for treating presbyopia and other eye disorders

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