Trypan internetadvance publication at ajo.com Dec 11, 2002. Blue–assisted peeling of the internal limiting membrane during macular hole surgery

Autor: Manuel Perrier, Mickaël Sebag
Rok vydání: 2003
Předmět:
Zdroj: American Journal of Ophthalmology. 135:903-905
ISSN: 0002-9394
Popis: Purpose To evaluate the outcome of surgeries for macular holes using trypan blue to facilitate delamination of the internal limiting membrane. Design A retrospective series of 18 patients. Methods All patients underwent a three-port pars plana vitrectomy with internal limiting membrane delamination using trypan blue 0.06% to assist visualization. The main outcome measures were postoperative visual acuity and clinically evident retinal pigment epithelial changes. Results The median preoperative visual acuity was 20/200, and the median postoperative visual acuity was 20/70. All but one macular hole were closed after surgery (94%). At the last recorded follow-up, 10 patients (56%) had improved visual acuity of at least two chart lines. No adverse reaction related to trypan blue was observed up to 1 year postsurgery. Conclusions Trypan blue staining of internal limiting membrane may accomplish more complete dissections of the internal limiting membrane and better surgical and visual outcomes.
Databáze: OpenAIRE