Instrument for initiating an intralamellar channel

Details Instrument for initiating an intralamellar channel Instrument for initiating an intralamellar channel

1994-09-01

1997-08-05

Thaler, Michael H.

Surgery

Instruments

Blunt dissectors

606166, A61B 1700

Patent

active

056537255

ABSTRACT:
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.

REFERENCES:
patent: 67545 (1867-08-01), Hodgins
patent: 4530117 (1985-07-01), Kelman
patent: 4570613 (1986-02-01), Alkon
patent: 4682597 (1987-07-01), Myers
patent: 5336235 (1994-08-01), Myers
Mueller "The Surgical Armamentarium " 1980 pp. 479 and 560.
Arista "Instruments " 1992 pp. 78-79.

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