阅读说明：本技术 一种免粘弹剂微创的ticl旋转复位方法 (Minimally invasive TICL (bonded elastic glue) rotary resetting method without using viscoelastic agent ) 是由 肖明 王曙亮 龚麟 秦光勇 程秀著 黄盖 于 2020-12-09 设计创作，主要内容包括：本发明公开了一种免粘弹剂微创的TICL旋转复位方法,涉及有晶体眼人工晶体植入术领域,所述免粘弹剂微创的TICL旋转复位方法包括以下步骤：检测：医生通过检测仪器测出目前患者球镜屈光度、柱镜屈光度以及柱镜屈光轴向,扩瞳：手术前40分钟开始扩瞳孔,注射：通过微量注射泵将适量的BSS平衡液注射于前房内。本发明通过对前房内注射BSS平衡液,增加前房眼压,使角膜与TICL晶体之间填充满BSS平衡液,进而在对角膜进行切口时不会切到TICL晶体,造成TICL晶体损伤,影响使用效果,其次在BSS平衡液内添加有少量的羟丙基甲基纤维素,可起到润滑TICL晶体的效果,在对晶体旋转复位时更加顺畅,以防TICL晶体与瞳孔之间过于干燥,影响旋转复位精度。(The invention discloses a viscoelastic agent-free minimally invasive TICL (tip-induced plasticity) rotary restoration method, which relates to the field of intraocular lens implantation with a lens eye, and comprises the following steps: and (3) detection: the doctor measures present patient's ball mirror diopter, cylinder diopter and cylinder refraction axial through detecting instrument, mydriasis: dilation of the pupil was started 40 minutes before surgery, injection: an appropriate amount of BSS balancing solution was injected into the anterior chamber by a micro syringe pump. The BSS balance liquid is injected into the anterior chamber to increase the intraocular pressure of the anterior chamber, so that the BSS balance liquid is filled between the cornea and the TICL crystal, the TICL crystal cannot be cut when the cornea is cut, the TICL crystal is damaged, and the using effect is influenced.)

1. The viscoelastic agent minimally invasive TiCL rotary restoration method is characterized by comprising the following steps of:

step one, detection: the doctor measures the sphere diopter, the cylindrical lens diopter and the cylindrical lens diopter axial direction of the current user through a detection instrument, and then marks a horizontal axis by using an operation marking pen under a slit lamp to calculate the position of a first corneal incision;

step two, pupil expanding: starting pupil dilation treatment 40 minutes before operation, fully mydriasis, and the diameter at least reaches 8 percent mm;

step three, injection: injecting a proper amount of BSS balance liquid into the anterior chamber through a micro-injection pump to increase the intraocular pressure of the anterior chamber, so that BSS balance liquid is filled between the cornea and the TICL crystal;

step four, cutting the film: cutting an incision at the corneal incision of the first operation, and cutting an incision at the corneal incision before the first operation;

step five, rotation: determining the correct axial direction of the TICL crystal by using a cornea scale positioning ring, marking the edge of the corneosclera by using a surgical marking pen, and driving the TICL crystal to rotate by using a positioner so that the TICL crystal rotates to the correct axial direction of the mark;

step six, reducing intraocular pressure: after the TiCL crystal is rotated and reset, sponge is placed at the position behind the corneal section to adsorb BSS balance liquid in the anterior chamber, the intraocular pressure of the anterior chamber is reduced, the intraocular pressure of the anterior chamber is recovered to a normal value, and then whether a shrinkage cavity agent is injected to shrink the pupil is judged according to the operation condition;

step seven, checking: removing the shrinkage agent, checking the position of the TiCL crystal, checking the water tightness of the incision, finally, dropping some antibiotic liquid medicine to wear the eyeshade, and rechecking after 4 hours.

2. The rotary recovery method of the viscoelastic-free minimally invasive TICL according to claim 1, characterized in that: the TICL rotation reset parameters according to the first step comprise rotation direction, rotation angle, sphere diopter, cylinder diopter and cylinder axial direction.

3. The rotary recovery method of the viscoelastic-free minimally invasive TICL according to claim 1, characterized in that: and 2.5% of neoforskolin and 1% of tropicamide are adopted for pupil dilation before the second step, eye dropping is carried out once every 10 minutes, and the horizontal transverse diameter of the cornea is repeatedly measured through a double-foot rule, so that the size of the TICL crystal is determined.

4. The rotary recovery method of the viscoelastic-free minimally invasive TICL of claim 2, wherein: and judging whether the astigmatism is related to the rotation of the TiCL crystal only according to whether the diopter of the detection sphere lens is normal or not.

5. The rotary recovery method of the viscoelastic-free minimally invasive TICL according to claim 1, characterized in that: the four according to step was incised on the temporal side with a keratome, the incision size being approximately 3.2 mm.

6. The rotary recovery method of the viscoelastic-free minimally invasive TICL according to claim 1, characterized in that: one end of the micro-injection pump according to the third step is connected with an injector, and a syringe needle is inserted into the anterior chamber to inject micro BSS balance liquid, wherein the maximum intraocular pressure value of the BSS balance liquid after injection is 21 mmHg.

7. The rotary recovery method of the viscoelastic-free minimally invasive TICL according to claim 1, characterized in that: the BSS equilibrium liquid contains a small amount of hydroxypropyl methyl cellulose.

8. The rotary recovery method of the viscoelastic-free minimally invasive TICL according to claim 1, characterized in that: the eye needs to be disinfected before the operation step, and the surface anesthesia liquid medicine is indirectly dripped in the operation.

Technical Field

The invention relates to the field of intraocular lens implantation with a crystalline eye, in particular to a minimally invasive TICL (tip-activated CL) rotary resetting method without using a viscoelastic agent.

Background

The ICL lens implantation is a good and new choice for successfully taking off the lens of a high and ultrahigh myopia patient, and the TICL lens implantation is a T-optimized correction operation performed by applying the TICL lens, can simultaneously correct high myopia and astigmatism, and is determined according to the specific conditions of the myopia patients with different heights after examination.

It is worth noting that when the eyes of a user are collided or excessively heavy, the intraocular lens ICL and the TICL may rotate, the ICL lens does not affect the use of the user after rotating, and the astigmatism axis changes after the TICL lens rotates, so that the user may have double images when seeing things, and the use of the user is affected.

Disclosure of Invention

The invention aims to: in order to solve the problem that when the arch height of the anterior chamber is reduced in the operation process, the TICL crystal is close to the cornea, and the TICL crystal can be cut when the cornea edge is cut, so that the use of the TICL crystal is influenced, a viscoelastic agent-free minimally invasive TICL rotary restoration method is provided.

In order to achieve the purpose, the invention provides the following technical scheme: a viscoelastic-free minimally invasive rotary TICL reduction method, comprising the steps of:

step one, detection: the doctor measures the sphere diopter, the cylindrical lens diopter and the cylindrical lens diopter axial direction of the current user through a detection instrument, and then marks a horizontal axis by using an operation marking pen under a slit lamp to calculate the position of a first corneal incision;

step two, pupil expanding: starting pupil dilation treatment 40 minutes before operation, fully mydriasis, and the diameter at least reaches 8 percent mm;

step three, injection: injecting a proper amount of BSS balance liquid into the anterior chamber through a micro-injection pump to increase the intraocular pressure of the anterior chamber, so that BSS balance liquid is filled between the cornea and the TICL crystal;

step four, cutting the film: cutting an incision at the corneal incision of the first operation, and cutting an incision at the corneal incision before the first operation;

step five, rotation: determining the correct axial direction of the TICL crystal by using a cornea scale positioning ring, marking the edge of the corneosclera by using a surgical marking pen, and driving the TICL crystal to rotate by using a positioner so that the TICL crystal rotates to the correct axial direction of the mark;

step six, reducing intraocular pressure: after the TiCL crystal is rotated and reset, sponge is placed at the position behind the corneal section to adsorb BSS balance liquid in the anterior chamber, the intraocular pressure of the anterior chamber is reduced, the intraocular pressure of the anterior chamber is recovered to a normal value, and then whether a shrinkage cavity agent is injected to shrink the pupil is judged according to the operation condition;

step seven, checking: removing the shrinkage agent, checking the position of the TiCL crystal, checking the water tightness of the incision, finally, dropping some antibiotic liquid medicine to wear the eyeshade, and rechecking after 4 hours.

Preferably, the first TICL rotation resetting parameters include rotation direction, rotation angle, sphere diopter, cylinder diopter, and cylinder axial direction.

Preferably, the method for dilating the pupil before the operation according to the second step adopts 1% of tropicamide and 2.5% of neoforline, the eye dropping is carried out once every 10 minutes, and the horizontal transverse diameter of the cornea is repeatedly measured by a double-foot rule, so that the size of the TiCL crystal is determined.

Preferably, the determination of whether astigmatism is only related to the rotation of the TICL crystal is performed according to whether the detected sphere power is normal.

Preferably, said incision is made with a keratome on the temporal side according to step four, the incision being about 3.2mm in size.

Preferably, one end of the micro-injection pump according to the third step is connected with a syringe, and a syringe needle is inserted into the anterior chamber to inject micro BSS balancing liquid, wherein the maximum intraocular pressure value of the BSS balancing liquid after injection is 21 mmHg.

Preferably, the BSS equilibrium liquid contains a small amount of hydroxypropyl methyl cellulose.

Preferably, the eye is disinfected before the operation step, and the topical anesthetic liquid is indirectly dripped in the operation.

Compared with the prior art, the invention has the beneficial effects that: the BSS balance liquid is injected into the anterior chamber to increase the intraocular pressure of the anterior chamber, so that the BSS balance liquid is filled between the cornea and the TICL crystal, a gap is reserved between the cornea and the TICL crystal, the TICL crystal cannot be cut when the cornea is cut, the TICL crystal is damaged, the using effect is influenced, a small amount of hydroxypropyl methyl cellulose is added into the BSS balance liquid, the effect of lubricating the TICL crystal can be achieved, the crystal is more smooth when being reset in a rotating mode, the situation that the space between the TICL crystal and the pupil is too dry, the rotating reset precision is influenced, and the risk of operation failure is reduced.

Detailed Description

A viscoelastic agent minimally invasive TICL rotary resetting method comprises the following steps:

step one, detection: the doctor measures the sphere diopter, the cylindrical lens diopter and the cylindrical lens diopter axial direction of the current user through a detection instrument, and then marks a horizontal axis by using an operation marking pen under a slit lamp to calculate the position of a first corneal incision;

step two, pupil expanding: starting pupil dilation treatment 40 minutes before operation, fully mydriasis, and the diameter at least reaches 8 percent mm;

step three, injection: injecting a proper amount of BSS balance liquid into the anterior chamber through a micro-injection pump to increase the intraocular pressure of the anterior chamber, so that BSS balance liquid is filled between the cornea and the TICL crystal;

step four, cutting the film: cutting an incision at the corneal incision of the first operation, and cutting an incision at the corneal incision before the first operation;

step five, rotation: determining the correct axial direction of the TICL crystal by using a cornea scale positioning ring, marking the edge of the corneosclera by using a surgical marking pen, and driving the TICL crystal to rotate by using a positioner so that the TICL crystal rotates to the correct axial direction of the mark;

step six, reducing intraocular pressure: after the TiCL crystal is rotated and reset, sponge is placed at the position behind the corneal section to adsorb BSS balance liquid in the anterior chamber, the intraocular pressure of the anterior chamber is reduced, the intraocular pressure of the anterior chamber is recovered to a normal value, and then whether a shrinkage cavity agent is injected to shrink the pupil is judged according to the operation condition;

step seven, checking: removing the shrinkage agent, checking the position of the TiCL crystal, checking the water tightness of the incision, finally, dropping some antibiotic liquid medicine to wear the eyeshade, and rechecking after 4 hours.

As a preferred embodiment of the invention, according to the step I, the TICL rotation reset parameters comprise rotation direction, rotation angle, spherical lens diopter, cylindrical lens diopter and cylindrical lens axial direction, parameters are detected, and the TICL crystal rotation angle and the incision position are calculated.

As a preferred embodiment of the invention, according to the second step, 1% of tropicamide and 2.5% of neoforline are adopted for pupil dilation before operation, eye dropping is carried out once every 10 minutes, the horizontal transverse diameter of the cornea is measured repeatedly through a double-foot rule, the size of the TICL crystal is determined, and pupil dilation is convenient for corneal incision and rotation correction of the TICL crystal.

As a preferred embodiment of the invention, whether the astigmatism is only related to the rotation of the TiCL crystal is judged according to whether the diopter of the detection sphere lens is normal, and other factors of the caused astigmatism are effectively eliminated.

As a preferred embodiment of the invention, the corneal knife is used to make a temporal incision according to the four steps, the incision size is about 3.2mm, the size of the corneal incision is reasonably controlled, and the postoperative healing of the cornea is facilitated.

According to the preferred embodiment of the invention, one end of the micro-injection pump in the step three is connected with a syringe, a syringe needle is inserted into the anterior chamber to inject micro BSS balance liquid, the maximum intraocular pressure value of the BSS balance liquid after injection is 21mmHg, the BSS balance liquid is injected into the anterior chamber to increase the intraocular pressure of the anterior chamber, so that BSS balance liquid is filled between the cornea and the TICL crystal, and a gap is reserved between the cornea and the TICL crystal.

As the preferred embodiment of the invention, the BSS balance liquid contains a small amount of hydroxypropyl methylcellulose, which can play a role in lubricating the TiCL crystal, and can be smoother when the crystal is reset in a rotating way, so that the phenomenon that the rotating reset precision is influenced by the excessive dryness between the TiCL crystal and the pupil is prevented, and the risk of operation failure is reduced.

As a preferred embodiment of the invention, the eye is disinfected before the operation step, and the topical anesthetic liquid is indirectly dripped in the operation, so that the operation infection risk and the pain of the user are reduced through disinfection and anesthesia.

It will be evident to those skilled in the art that the invention is not limited to the details of the foregoing illustrative embodiments, and that the present invention may be embodied in other specific forms without departing from the spirit or essential attributes thereof. The present embodiments are therefore to be considered in all respects as illustrative and not restrictive, the scope of the invention being indicated by the appended claims rather than by the foregoing description, and all changes which come within the meaning and range of equivalency of the claims are therefore intended to be embraced therein.