Trypan blue-assisted peeling of the internal limiting membrane during macular hole surgery.

Abstract:

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. METHOD: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.

journal_name

Am J Ophthalmol

authors

Perrier M,Sébag M

doi

10.1016/s0002-9394(02)02239-0

subject

Has Abstract

pub_date

2003-06-01 00:00:00

pages

903-5

issue

6

eissn

0002-9394

issn

1879-1891

pii

S0002939402022390

journal_volume

135

pub_type

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