TITLE

Retrospective Analysis of Vitrectomy With and Without Internal Limiting Membrane Peeling for Stage 3 and 4 Macular Hole

AUTHOR(S)
Simon, Guy J. Ben; Desatnik, Howard; Alhalel, Amir; Treister, Giora; Moisseiev, Joseph
PUB. DATE
March 2004
SOURCE
Ophthalmic Surgery, Lasers & Imaging;Mar/Apr2004, Vol. 35 Issue 2, p109
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
BACKGROUND AND OBJECTIVE: To evaluate the efficacy and safety of pars plana vitrectomy with indocyanine green (ICG)--assisted internal limiting membrane (ILM) peeling versus pars plana vitrectomy without ILM peeling for stage 3 and 4 primary idiopathic macular hole. PATIENTS AND METHODS: Sixty-two eyes of 60 consecutive patients with idiopathic macular hole underwent vitrectomy with gas (C3F8) injection. The first 46 eyes underwent vitrectomy without ILM peeling; of these, 14 had epiretinal membrane peeling and were excluded, leaving 32 eyes (no ILM group). The remaining 16 eyes underwent vitrectomy with ICGassisted ILM peeling (ICG-ILM group). Follow-up data at 6 to 48 months postoperatively were recorded and analyzed. RESULTS: Macular hole closure was achieved in 13 (81%) of 16 patients in the ICG-ILM group and 16 (50%) of 32 patients in the no ILM group (P = .036). Analysis of the data from eyes with closed holes indicates that the ICG-ILM group achieved a better mean final visual acuity compared with the no ILM group (20/60 vs 20/100, respectively) (P = .017). No complications were attributed to the use of ICG. CONCLUSIONS: ICG-assisted ILM peeling significantly increased the rate of hole closure in eyes with stage 3 or 4 idiopathic macular hole. The use of ICG did not adversely affect the visual acuity results, and it appears to be a safe adjunct to macular hole surgery.
ACCESSION #
20066653

 

Related Articles

  • Macular hole developing in a post-vitrectomized eye and its surgical outcome. Rishi, Pukhraj; Reddy, Sumanth; Rishi, Ekta // Oman Journal of Ophthalmology;Jun2013, Vol. 6 Issue 2, p135 

    The article discusses the development of macular hole (MH) in post-vitrectomized eye and its surgery. It states that MH formation has been described after pneumatic retinopexy, scleral buckling, and pars plana vitrectomy. It mentions that MHs in vitrectomized eyes are amenable to surgery with...

  • The Use of Viscoelastics During Pars Plana Vitrectomy in Eyes With an Anterior Chamber Intraocular Lens. Bashshur, Ziad F.; Zein, Wadih; Ma'luf, Riad N. // Ophthalmic Surgery, Lasers & Imaging;Sep/Oct2003, Vol. 34 Issue 5, p413 

    Pars plana vitrectomy in eyes with an anterior chamber intraocular lens poses several challenges. This becomes more obvious during fluid-air exchange. The use of viscoelastics during the surgery to overcome these problems is described. This technique allows better visibility intraoperatively,...

  • Analysis of long-term outcomes for combined pars plana vitrectomy (PPV) and glaucoma tube shunt surgery in eyes with advanced glaucoma. Gandhi, A; Miller, D M; Zink, J M; Khatana, A K; Riemann, C D; Petersen, M R; Foster, R E; Sisk, R A // Eye;Mar2014, Vol. 28 Issue 3, p290 

    PurposeTo analyze 12- and 24-month visual acuity, intraocular pressure, and complications associated with combined pars plana vitrectomy (PPV) and glaucoma tube shunt placement in eyes with glaucoma.Patients and methodsA retrospective chart review was performed of patients with advanced glaucoma...

  • Brilliant blue G-assisted peeling of the internal limiting membrane in macular hole surgery. Naithani, Prashant; Vashisht, Naginder; Khanduja, Sumeet; Sinha, Subijay; Garg, Satpal // Indian Journal of Ophthalmology;Mar2011, Vol. 59 Issue 2, p158 

    Dye-assisted internal limiting membrane (ILM) peeling and gas tamponade is the surgery of choice for idiopathic macular holes. Indocyanine green and trypan blue have been extensively used to stain the ILM. However, the retinal toxicity of indocyanine green and non-uniform staining with trypan...

  • Minimal Refractive Change Induced by Sutureless 23- and 25-Gauge Pars Plana Vitrectomy. Emanuelli, Andrés; García-Gonzalez, José M.; Berrocal, María H.; Flynn Jr., Harry W. // Ophthalmic Surgery, Lasers & Imaging;Mar/Apr2012, Vol. 43 Issue 2, p10 

    BACKGROUND AND OBJECTIVE: This study reports the induced refractive error after 23- and 25-gauge (G) pars plana vitrectomy (PPV). PATIENTS AND METHODS: In this non-randomized retrospective case series, refractive status was assessed with an autokeratorefractometer 1 week or more before and 6...

  • Surgeon recommends pars plana vitrectomy technique in cases of ruptured capsule. Boyle, Erin L.; Cowles, Carey; Hasson, Matt; Mullin, David W. // Ocular Surgery News;10/25/2009, Vol. 27 Issue 20, p18 

    The article discusses the views of physician on the use of the pars plana vitrectomy technique in the event of ruptured capsule during phacoemulsification, which he presented at a meeting held by "Ocular Surgery News" in New York City on September 25-27, 2009. He explains the advantages of the...

  • Initial clinical experience using a diode red laser (670?nm) in the treatment of retinal disease. Lanzetta, P.; Furlan, F.; Bandello, F. // Eye;Feb2005, Vol. 19 Issue 2, p171 

    AIM:To investigate the clinical use of a 670-nm diode red laser in the treatment of a number of retinal conditions. METHODS:In all, 17 eyes of 17 patients were treated for conditions such as proliferative diabetic retinopathy, retinal neovascularization in central retinal vein occlusion,...

  • Yırtıklı ve Traksiyonel Retina Dekolmanlı Olgularda Primer Pars Plana Vitrektomi Sonuçlarımız. Aydin, Erdinc; Yardim, Hüseyin // Retina-Vitreus/Journal of Retina-Vitreous;Sep2009, Vol. 17 Issue 3, p180 

    Purpose: To assess the clinical outcomes of our patients with rhegmatogen and tractional retinal detachment who primarily underwent pars plana vitrectomy (PPV). Materials and Methods: The results from 48 eyes of 47 patients with tractional retinal detachment (TRD) and rhegmatogen retinal...

  • A New Surgical Approach for Indocyanine Green--Assisted Internal Limiting Membrane Peeling. Avci, Remzi; Avci, Berrin; Kaderli, Berkant; Cavusoglu, Ilkin // Ophthalmic Surgery, Lasers & Imaging;Jul/Aug2004, Vol. 35 Issue 4, p292 

    BACKGROUND AND OBJECTIVE: The efficiency of indocyanine green (ICG) dye in the removal of the internal limiting membrane (ILM) with a fluid needle using passive aspiration was evaluated. PATIENTS AND METHODS: Eighteen consecutive patients with diffuse diabetic macular edema were studied. After...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics