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    • 3. 发明授权
    • Instrument for initiating an intralamellar channel
    • 启动内镜通道的仪器
    • US5653725A
    • 1997-08-05
    • US299592
    • 1994-09-01
    • Gabriel SimonWilliam Gerald LeeJean-Marie A. Parel
    • Gabriel SimonWilliam Gerald LeeJean-Marie A. Parel
    • A61F9/007A61B17/32A61F2/00A61F2/12A61F2/14A61F9/013A61L27/18C08G65/30C08G65/32C08J3/075C08J3/28C08L71/02A61B17/00
    • C08G65/30A61F9/0133C08G65/32C08L71/02A61B2017/320044A61F9/0017
    • The present invention provides a surgical technique and instrument kit that allows for subtle modification of the corneal curvature by interlamellar injection of a synthetic gel at the corneal periphery while sparing the optical zone. The gel viscosity, volume and disposition within the surgical annular track as well as the diameter of the track, width, depth, and location are all parameters in the refractive change obtained. Following ultrasonic pachymetry performed centrally and at a selected wound entrance located about 2.5 to 3.5 mm from the apex, a one millimeter or so wide, about 75-85% corneal thickness depth radial incision is performed with a micrometric diamond knife adjusted to about 86% corneal thickness. Inserted through the partial-depth incision, a corkscrew-like dissector or helicoidal spatula forms a 360.degree. annular track centered about the apex. A transparent gel is manually injected through the incision, filling the annular channel. Using a surgical keratometer mounted to an operation microscope, the final corneal power is adjusted by massaging and removing the gel as necessary during the primary procedure or subsequent procedures, as the GIAK technique is reversible.
    • 本发明提供了一种手术技术和仪器套件,其允许通过在保护光学区域的同时在角膜周边层间注射合成凝胶来微调角膜曲率。 手术环形轨道内的凝胶粘度,体积和配置以及轨迹的直径,宽度,深度和位置都是获得的折射变化的参数。 在中心进行超声波比重测量并且位于离顶点大约2.5至3.5mm的选定的伤口处,使用调节至约86%的微测金刚石刀片进行一毫米或更宽,约75-85%的角膜厚度深度径向切口, 角膜厚度。 通过部分深度切口插入,开瓶塞式解剖器或螺旋刮刀形成以顶点为中心的360°环形轨道。 通过切口手动注入透明凝胶,填充环形通道。 使用安装在手术显微镜上的外科角膜曲率计,通过在主要手术或随后程序中根据需要按摩和去除凝胶来调整最终的角膜功能,因为GIAK技术是可逆的。
    • 4. 发明授权
    • Instruments for use in performing gel injection adjustable keratoplasty
    • 用于执行凝胶注射可调角膜移植术的仪器
    • US5931846A
    • 1999-08-03
    • US806730
    • 1997-02-27
    • Gabriel SimonWilliam Gerald LeeJean-Marie A. Parel
    • Gabriel SimonWilliam Gerald LeeJean-Marie A. Parel
    • A61F9/007A61B17/32A61F2/00A61F2/12A61F2/14A61F9/013A61L27/18C08G65/30C08G65/32C08J3/075C08J3/28C08L71/02A61B17/00
    • A61F2/147A61F9/007A61F9/0133A61L27/18C08G65/30C08G65/32C08J3/075C08J3/28C08L71/02A61B2017/320044A61F2/0059A61F2/12A61L2430/16C08J2371/02
    • The present invention provides a surgical technique and instrument kit that allows for subtle modification of the corneal curvature by interlamellar injection of a synthetic gel at the corneal periphery while sparing the optical zone. The gel viscosity, volume and disposition within the surgical annular track as well as the diameter of the track, width, depth, and location are all parameters in the refractive change obtained. Following ultrasonic pachymetry performed centrally and at a selected wound entrance located about 2.5 to 3.5 mm from the apex, a one millimeter or so wide, about 75-85% corneal thickness depth radial incision is performed with a micrometric diamond knife adjusted to about 86% corneal thickness. Inserted through the partial-depth incision, a corkscrew-like dissector or helicoidal spatula forms a 360.degree. annular track centered about the apex. A transparent gel is manually injected through the incision, filling the annular channel. Using a surgical keratometer mounted to an operation microscope, the final corneal power is adjusted by massaging and removing the gel as necessary during the primary procedure or subsequent procedures, as the GIAK technique is reversible.
    • 本发明提供了一种手术技术和仪器套件,其允许通过在保护光学区域的同时在角膜周边层间注射合成凝胶来微调角膜曲率。 手术环形轨道内的凝胶粘度,体积和配置以及轨迹的直径,宽度,深度和位置都是获得的折射变化的参数。 在中心进行超声波比重测量并且位于离顶点大约2.5至3.5mm的选定的伤口处,使用调节至约86%的微测金刚石刀片进行一毫米或更宽,约75-85%的角膜厚度深度径向切口, 角膜厚度。 通过部分深度切口插入,开瓶塞式解剖器或螺旋刮刀形成以顶点为中心的360°环形轨道。 通过切口手动注入透明凝胶,填充环形通道。 使用安装在手术显微镜上的外科角膜曲率计,通过在主要手术或随后程序中根据需要按摩和去除凝胶来调整最终的角膜功能,因为GIAK技术是可逆的。