CN101305947B - Drainage device special for glaucoma ciliarotomy - Google Patents
Drainage device special for glaucoma ciliarotomy Download PDFInfo
- Publication number
- CN101305947B CN101305947B CN2007101078465A CN200710107846A CN101305947B CN 101305947 B CN101305947 B CN 101305947B CN 2007101078465 A CN2007101078465 A CN 2007101078465A CN 200710107846 A CN200710107846 A CN 200710107846A CN 101305947 B CN101305947 B CN 101305947B
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- CN
- China
- Prior art keywords
- drainage
- aqueous humor
- humor drainage
- drainage device
- glaucoma
- Prior art date
- Legal status (The legal status 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 status listed.)
- Expired - Fee Related
Links
- 208000010412 Glaucoma Diseases 0.000 title claims abstract description 20
- 210000001742 aqueous humor Anatomy 0.000 claims abstract description 53
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims abstract description 5
- 210000003128 head Anatomy 0.000 claims abstract description 5
- 239000000741 silica gel Substances 0.000 claims abstract description 5
- 229910002027 silica gel Inorganic materials 0.000 claims abstract description 5
- 210000000795 conjunctiva Anatomy 0.000 claims abstract description 3
- 239000007943 implant Substances 0.000 claims description 4
- 229960001866 silicon dioxide Drugs 0.000 claims description 4
- 238000000034 method Methods 0.000 claims description 3
- 210000004279 orbit Anatomy 0.000 claims 1
- 210000002159 anterior chamber Anatomy 0.000 abstract description 7
- 238000002513 implantation Methods 0.000 abstract description 6
- 210000004127 vitreous body Anatomy 0.000 abstract description 3
- 239000012620 biological material Substances 0.000 abstract description 2
- 239000000463 material Substances 0.000 abstract description 2
- 210000004240 ciliary body Anatomy 0.000 abstract 1
- 231100000241 scar Toxicity 0.000 abstract 1
- 210000001508 eye Anatomy 0.000 description 4
- 239000007788 liquid Substances 0.000 description 4
- 230000000694 effects Effects 0.000 description 3
- 206010058046 Post procedural complication Diseases 0.000 description 2
- 208000035965 Postoperative Complications Diseases 0.000 description 2
- 210000005252 bulbus oculi Anatomy 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 230000004410 intraocular pressure Effects 0.000 description 2
- 230000007774 longterm Effects 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 238000010521 absorption reaction Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000000589 cicatrix Anatomy 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000005538 encapsulation Methods 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 230000004807 localization Effects 0.000 description 1
- 230000037390 scarring Effects 0.000 description 1
- 210000005239 tubule Anatomy 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
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Abstract
The invention discloses a flat strip-shaped drainage device which is applied to the operation implantation at the pars plana of a ciliary body to treat the refractory glaucoma. Aqueous humor in an eye is led out of the eye and oozed to the lower part of a conjunctiva through aqueous humor drainage ports and aqueous humor drainage grooves, the aqueous humor drainage volume which is needed in the treatment of the refractory glaucoma can be satisfied, the vitreous-body incarceration at an incision and the incision scar are avoided, and the anterior chamber complication is reduced. The special drainage device is processed by adopting material silica gel or absorptive biomaterial, and is provided with two aqueous humor drainage ports, two or three aqueous humor drainage grooves, and two suture holes. One end of the drainage device is an intraocular implanting end which is 3mm from the suture holes; a head takes the shape of a smooth oval flat strip; the aqueous humor drainage ports are respectively arranged in the two corresponding drainage grooves; when in operation, the implanting end is implanted in the eye and is fixed through suture; the other end of the drainage device is an extraocular drainage end which is relatively long and 10mm from the suture holes, and is provided with two or three drainage grooves.
Description
Affiliated technical field
Drainage device special for glaucoma ciliarotomy of the present invention is a kind of aqueous humor drainage device of implanting in the operation of human eyeball's orbiculus ciliaris, is applicable to the intractable glaucoma of treatment.
Background technology
Intractable glaucoma is meant and adopts conventional medicine and routine operation all to be difficult to the glaucoma that proves effective.
Being used for the treatment of intractable glaucomatous aqueous humor drainage device at present on the clinical medicine only is to be applicable to that human eyeball anterior chamber implants.This aqueous humor drainage device is made up of drainage tube and liquid trap.Aqueous humor is discharged to liquid trap outward by drainage tube, is seeped under the outer conjunctiva of eye again, reaches the reduction intraocular pressure, treats glaucomatous effect.But a lot of clinically patient's postoperatives often stop up because of drainage tube or the liquid trap fibers encapsulation is lost the drain function, and intraocular pressure raises, the glaucoma recurrence.The aqueous humor drainage device of anterior chamber's implantation is owing to its drainage tube caliber size of reason of post-operative complication is limited on the other hand, be difficult to obtain to treat the drainage flow of intractable glaucoma requirement, so effect is not too satisfied clinically, and this aqueous humor drainage device complex structure, cost an arm and a leg, be difficult to popularize.
Summary of the invention
In order to overcome the deficiency of existing anterior chamber's embedded type aqueous humor drainage device, drainage device special for glaucoma ciliarotomy of the present invention changes the operation approach at first innovatively, utilizes the orbiculus ciliaris otch that operates; In addition by the novel rational aqueous humor drainage device of design, shape, structure, material and technical the innovation, increase the aqueous humor drainage amount on the one hand, prevent the post-operative complication that anterior chamber's path often causes, prevent on the other hand that vitreous body is excessive, difficult problems such as incarceration and incisional scarization, reach the intractable glaucomatous purpose of treatment.
This drainage device special for glaucoma ciliarotomy is that the technical scheme that its technical problem of solution is adopted is: 1, drainage device is implanted rather than is implanted from angle of anterior chamber from the eye orbiculus ciliaris, to reach when increasing the aqueous humor drainage amount, can not cause multiple complications such as the postoperative anterior chamber shoals yet.2, replace drain tubule and liquid trap with the flat-shaped drainage device that has aqueous humor drainage opening and drainage trough, prevent line clogging.3, the flat-shaped drainage device can prevent the excessive and incarceration of incision vitreous body, can prevent otch surrounding tissue cicatrix and localization by the lengthening and the external drainage end of bifurcated, influence the effect in aqueous humor drainage amount and long term.4, adopt medical silica-gel or water absorption biomaterial also by technical finesse, can reach and keep secular aqueous humor drainage function and reduce the operative incision fibrous scarization.
The beneficial effect of this drainage device special for glaucoma ciliarotomy is can keep intractable glaucomatous aqueous humor external drainage function long-term effectively and reduce the operative incision scarring, and operation technique to be convenient, simple in structure, with low cost.
Description of drawings
The present invention is further described below in conjunction with drawings and Examples.
Fig. 1 is the front view (forward plane figure) of the special-purpose drainage device I of the present invention type.1 is the aqueous humor drainage mouth among the figure, and 2 is the suture circular hole, and 3 is triangle aqueous humor drainage groove.
Fig. 2 is the rearview of the special-purpose drainage device I of the present invention type.
Fig. 3 is that the left side of the special-purpose drainage device I of the present invention type is looked, right view.1 is the aqueous humor drainage mouth among the figure, and 2 is the suture circular hole.
Fig. 4 is the view of overlooking, raise one's head of the special-purpose drainage device I of the present invention type.3 is triangle aqueous humor drainage groove among the figure.
Fig. 5 is the axonometric chart of the special-purpose drainage device I of the present invention type.1 is the aqueous humor drainage mouth among the figure, and 2 is the suture circular hole, and 3 is triangle aqueous humor drainage groove.
Fig. 6 is the front view (forward plane figure) of the special-purpose drainage device II of the present invention type.1 is the aqueous humor drainage mouth among the figure, and 2 is the suture circular hole, and 3 is triangle aqueous humor drainage groove.
Fig. 7 is that the left side of the special-purpose drainage device II of the present invention type is looked, right view.
Fig. 8 is the view of overlooking, raise one's head of the special-purpose drainage device II of the present invention type.
Fig. 9 is the axonometric chart of the special-purpose drainage device II of the present invention type.1 is the aqueous humor drainage mouth among the figure, and 2 is the suture circular hole, and 3 is triangle aqueous humor drainage groove.
Figure 10 is the front view (forward plane figure) of the special-purpose drainage device III of the present invention type.1 is the aqueous humor drainage mouth among the figure, and 2 is the suture circular hole, and 3 is triangle aqueous humor drainage groove.
Figure 11 is the rearview of the special-purpose drainage device III of the present invention type.
Figure 12 is the view of overlooking, raise one's head of the special-purpose drainage device III of the present invention type.
Figure 13 is the axonometric chart of the special-purpose drainage device III of the present invention type.1 is the aqueous humor drainage mouth among the figure, and 2 is the suture circular hole, and 3 is triangle aqueous humor drainage groove.
The specific embodiment
In the embodiment shown in fig. 1, the special-purpose drainage device I of glaucoma of the present invention type is 1.0mm * 2.5mm * 13mm flat-shaped, two triangle aqueous humor drainage grooves (3) are arranged in its front, a triangle aqueous humor drainage groove (3) is arranged at its back side, with suture circular hole (2) is that the boundary is divided into ophthalmic implantation end and outer an implantation is held, and implanting in two triangle aqueous humor drainage grooves (3) of holding the front within the eye respectively has an aqueous humor drainage mouth (1).
In the embodiment shown in fig. 6, the special-purpose drainage device II of glaucoma of the present invention type is 0.8mm * 1.8mm * 13mm flat-shaped, in its front and the back side triangle aqueous humor drainage groove (3) is respectively arranged, with suture circular hole (2) is that the boundary is divided into ophthalmic implantation end and outer an implantation is held, and implanting in the triangle aqueous humor drainage groove (3) of holding the front and the back side thereof within the eye respectively has an aqueous humor drainage mouth (1).
In the embodiment shown in fig. 10, the special-purpose drainage device III of glaucoma of the present invention type is the reworked of I type, and the external drainage section second half section is made form of bifurcation, and purpose is further to prevent the otch local scarization, and all the other structures are identical with the I type with size dimension.
Claims (3)
1. drainage device special for glaucoma ciliarotomy, it is the flat-shaped drainage device that has 2 aqueous humor drainage mouths, 2 anchor suture holes and front surface 1-2 bar aqueous humor drainage groove, 1 the aqueous humor drainage groove in the back side, the employing medical silica-gel processes, one end of drainage device is for implanting end, apart from suture hole 3mm, head is level and smooth oval flat-shaped, will implant end during operation and implant ophthalmic; The other end is long external drainage end, apart from suture hole 10mm, can preferably aqueous humor drainage to conjunctiva be reached in the eye socket down.
2. drainage device special for glaucoma ciliarotomy according to claim 1, be divided into 2 models, it is characterized in that: the I type is big drainage flow type, at flat two aqueous humor drainage grooves of strip medical silica-gel front surface processing, in these two aqueous humor drainage grooves, respectively make an aqueous humor drainage mouth and a suture hole, aqueous humor drainage groove of its back side processing; The II type is less drainage flow type, respectively processes an aqueous humor drainage groove at the front surface and the back side of flat strip medical silica-gel, and respectively make an aqueous humor drainage mouth and suture hole in two aqueous humor drainage grooves.
3. drainage device special for glaucoma ciliarotomy according to claim 1 is characterized in being specially adapted for the orbiculus ciliaris operation and implants, and treats intractable glaucoma.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2007101078465A CN101305947B (en) | 2007-05-18 | 2007-05-18 | Drainage device special for glaucoma ciliarotomy |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2007101078465A CN101305947B (en) | 2007-05-18 | 2007-05-18 | Drainage device special for glaucoma ciliarotomy |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN101305947A CN101305947A (en) | 2008-11-19 |
| CN101305947B true CN101305947B (en) | 2011-10-12 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2007101078465A Expired - Fee Related CN101305947B (en) | 2007-05-18 | 2007-05-18 | Drainage device special for glaucoma ciliarotomy |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN101305947B (en) |
Families Citing this family (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| KR102190257B1 (en) * | 2017-12-20 | 2020-12-16 | 주식회사 마이크로트 | An ocular disease implant apparatus for controlling intraocular pressure |
| CN108845024A (en) * | 2018-04-13 | 2018-11-20 | 中国地质大学（武汉） | A kind of matrix stable introducing device |
| CN113081474B (en) * | 2021-03-31 | 2023-03-10 | 武汉爱尔眼科医院有限公司 | An adjustable aqueous humor drainage device for glaucoma and its application method |
| CN115227485A (en) * | 2022-05-27 | 2022-10-25 | 温州医科大学附属眼视光医院 | Subconjunctival minimally invasive glaucoma drainage device through pars plana |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB2296663A (en) * | 1995-01-03 | 1996-07-10 | Ahmed Salih Mahmud | Drainage device for alleviating excess ophthalmic fluid pressure |
| US5626559A (en) * | 1994-05-02 | 1997-05-06 | Ramot University Authority For Applied Research And Industrial Development Ltd. | Ophthalmic device for draining excess intraocular fluid |
| US5882327A (en) * | 1997-04-17 | 1999-03-16 | Jacob; Jean T. | Long-term glaucoma drainage implant |
| CN2476266Y (en) * | 2001-06-04 | 2002-02-13 | 戴维智 | Drainage device for glaucoma |
-
2007
- 2007-05-18 CN CN2007101078465A patent/CN101305947B/en not_active Expired - Fee Related
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5626559A (en) * | 1994-05-02 | 1997-05-06 | Ramot University Authority For Applied Research And Industrial Development Ltd. | Ophthalmic device for draining excess intraocular fluid |
| GB2296663A (en) * | 1995-01-03 | 1996-07-10 | Ahmed Salih Mahmud | Drainage device for alleviating excess ophthalmic fluid pressure |
| US5882327A (en) * | 1997-04-17 | 1999-03-16 | Jacob; Jean T. | Long-term glaucoma drainage implant |
| CN2476266Y (en) * | 2001-06-04 | 2002-02-13 | 戴维智 | Drainage device for glaucoma |
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| Publication number | Publication date |
|---|---|
| CN101305947A (en) | 2008-11-19 |
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