Method and apparatus for maintaining the normal intraocular pressure

• US 5,360,399 A
• Filed: 03/30/1992
• Issued: 11/01/1994
• Est. Priority Date: 01/10/1992
• Status: Expired due to Fees

• Current Assignee: Robert Stegmann
• Original Assignee: Robert Stegmann
• Inventors: Stegmann, Robert
• Primary Examiner(s): Hafer, Robert A.
• Assistant Examiner(s): RIMELL, SAMUEL G
• Application Number:
  US07/860,629
• Time in Patent Office: 946 Days
• Field of Search: 604/19, 604/27, 604/28, 604/36, 604/38, 604/48, 604/49, 604/73, 604/93, 604/181, 604/184, 604/187, 604/218, 604/264, 604/272
• US Class Current: 604/521
• CPC Class Codes: A61F 9/00781 Apparatus for modifying intraocular pressure, e.g. for glaucoma treatment drainage implants in general A61M27/002

Abstract

A method and an apparatus for carrying out the method, in which the necessary outflow of the aqueous humor which is continuously being renewed in the eye is ensured, and thus the normal intraocular pressure is maintained. For the treatment, the sclera undergoes operative lamellar incision for partial exposure of Schlemm'"'"'s canal, and the portion which is opened out is held by a device which is not depicted. A medium is introduced into Schlemm'"'"'s canal by a tube which is introduced into the circular canal of Schlemm by which the upstream trabecular tissue is hydraulically expanded and traumatically opened at several points and, at the same time, the points are wetted by the highly viscous medium.

Claims

1. A method for maintaining a constant pressure, which depends on the aqueous humour which circulates from the posterior chamber to the anterior chamber of the eye and is removed via the circular canal of Schlemm and the upstream trabecular tissue, inside the eye of an organism, said method comprising the steps of:

(a) making a lamellar incision of the sclera for exposing a section of Schlemm'"'"'s canal; and

(b) injecting a highly viscous medium into Schlemm'"'"'s canal, by means of at least one tube introduced into the canal for opening the trabecular tissue traumatically by a hydraulic expansion at one or more points and which prevents a hemorrhage thereof.

2. A method according to claim 1, wherein the openings produced traumatically by the hydraulic expansion in the trabecular tissue are wetted by a highly viscous medium thereby ensuring a normal drainage of Schlemm'"'"'s canal.

3. A method according to claim 1, wherein the medium is injected in a direction towards the anterior chamber of the eye through at least one orifice arranged in the tube.

4. A method according to claim 1, wherein the medium is injected, by means of tubes which are designed as mirror images, successively into the left and right portions, formed by the lamellar incision the sclera, of Schlemm'"'"'s canal.

5. A method according to claim 1, wherein the highly viscous medium is a gel-like sodium hyaluronate.

6. A method according to claim 1, wherein an aqueous solution of chemically modified hyaluronic acid with high molecular weight is used and injected as a highly viscous medium, the molecular weight being between 3.2×

10^-6 to 5×

10^-6.

7. A method according to claim 1, wherein a medium based on hyaluronic acid is used and injected.

8. A method according to claim 1, wherein a medium composed of hyaluronic acid mixed with chondroitin sulphate or hyaluronic acid mixed with dextran is used and injected.