SYNOPSIS: For the 500th time Professor Dr. Rosa Gundorova is doing battle with a case?
Operating theatre, operation nearly completed
Prof. Gundorova talks to patient during operation
Further during operation, CU. Prof. Gundorova
Patient examined by Professor, CU Patient
Patient laid on operation table, covered over; instruments prepared.
Prof. Gundorova during operation, SCU.
Eye is opened, thread pulled through, CU eye, scalpel
CU Prof. Gundorova at Microscope, CU hand
Blood vessels being sealed
CU eye, ultrasonic device. CU eye shows how dimness disappears and the eye clears before end of operation; eye shut, patient wheeled out.
Reporter on operation theatre.
Dispensary. Preparation being made up, chemist at mortar, bottling, row of full bottles
Prof. Katznelson, demonstrating advantages of NKD.
Prof. Dr. Lev Katznelson, chairman of research group.
Prof. shows right-hand picture
Prof. Gundorova with patient before removal of eye-patch (atmos)
Prof. Gundorova talks to the patient.
The most dramatic moment in any eye operation is here ... Will the patient be able top see or not?
Doctor: Do you see anything?
Patient: Your fingers.
Doctor: You can see them clearly, can you?
Patient: Yes, I can see them.
Doctor: How many do you see, them?
Doctor: Molodyests! Of course, two. Well done. We've finished then, haven't we?
Doctor: can you see me?
Patient: Yes, very well. All of you.
Doctor: How many fingers do you see?
Patient: You are showing me one of them.
Doctor: And you can see me?
Patient: Yes, I can see you.
Doctor: Usually, patients who don't see very well tell me that I'm beautiful or that I'm not. You can see so well again that you don't have to bother with that, eh? Very well, in fact, better than ever before ... is that right?
Patient: That's right.
Doctor: Now you'll be able to see properly with both eyes again. I think you'll be able to use your right eye just as much now when you work as you left one.
Patient: I'm so happy. Thank you ever so much.
Doctor: That's quite all right.
Atmos: Theatre before operation - UP ATMOS for 5 seconds.
Script is copyright Reuters Limited. All rights reserved
Background: SYNOPSIS: For the 500th time Professor Dr. Rosa Gundorova is doing battle with a case of grey cataract.
And this is how battle was joined an hour ago ... with the final examination. This is Dimitri Genov, 35 mechanic at a Vladivostok shipyard. Blind in his right eye. It was hit 15 years ago a snowball frozen solid and he lost his vision as a cataract formed in it.
Genov was treated in Vladivostok, but the local eye doctors were unable to help him. As usual in the Soviet Union, his air ticket for the 9,000-kilometre journey to the Helmholtz Institute in Moscow, his treatment and his operation were paid for by National Health funds.
On the dot of 10 a.m., Dimitri Genov is brought into the operation theatre.
Professor Gundorova, carrying out this operation, is one of the Soviet Union's leading eye surgeons. She was the first to operate on grey cataract with the ultra-sonic technique.
First the necessary injections ... local anaesthetics.
The eye is opened and the retina cut with a minute scalpel.
Professor Gundorova operates through the microscope ... watching and guiding the work of her hands microscopic enlargement.
The blood vessels are sealed off so that the eye stays dry during the operation. This is done with a medical mini-welder.
And her is the decisive state: With an ultrasonic device, ending in a tiny crystal disc, the dimness inside the eye is literally erased. The whole operation has taken no more than half an hour.
Two methods of treating cataract cases are used at the Helmholtz Institute, One is the surgical method, the other is medication. With a preparation developed here, eye doctors can restore the vision of almost totally blind people. An outstanding achievement of Soviet ophthalmic medicine which has found worldwide recognition.
For the time being the preparation, know as NKD, is produced only at the Institute's laboratory. However, large-scale production is planned for the end of 1978. NKD injections stimulate vision. The preparation can be used as a cure, or as a prophylactic in potentially endangered cases.
In about 43 per cent of all cases we are able to restore the patient sight entirely. And in 60 per cent of patients the process can be stabilised. These statistics are based on several year' observations. By way of demonstration I should like to show you the visual picture of a patient who had gone completely blind. On the right, almost complete blackness at the start of treatment...on the left, regained vision after treatment. As one can see, the results are positive. Complete visual powers were restored and the patient has meanwhile resumed his former job.
Ten a.m., the next day. Just 22 hours after the operation, Dimitri Genov's protective eye-patch is removed. And for the 500th time Professor Gundorova is faced with the question: Will t he patient's vision have been stabilised? Was the operation successful or not?