Rinsho Ganka Volume 63, Issue 2 (February 2009)

Evaluation of adjuvants during peeling of internal limiting membrane for macular hole. Comparison of brilliant blue G versus indocyanine green and triamcinolone acetonide Noriko Mochizuki 1 , Teiko Yamamoto 2 , Hiroshi Enaida 3,4 , Tatsuro Ishibashi 4 , Hidetoshi Yamashita 1 1Dept of Ophthalmol and Vis Sci,Yamagata Univ Fac of Med 2Dept of Ocular Cellular Engineering,Yamagata Univ Hosp 3Dept of Ophthalmol,Clin Res Inst,Nat Hosp Org,Kyushu Med Cent 4Dept of Ophthalmol,Grad Sch of Med Sci,Kyushu Univ pp.205-210
Published Date 2009/2/15
DOI https://doi.org/10.11477/mf.1410102609
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Abstract. Purpose:To report the outcome of vitreous surgery for macular hole with adjunctive use of brilliant blue G as compared with indocyanine green(ICG)and triamcinolone acetonide(TA). Cases and Method:This study was made on 50 eyes of 50 cases who underwent peeling of internal limiting membrane(ILM)for idiopathic macular hole and who were followed up for 3 months or longer. During surgery,ILM was stained by brilliant blue G in 10 eyes,ICG in 26 eyes,and TA in 14 eyes. Cases in brilliant blue G group received 25 G vitrectomy,injection of 1 ml 100% SF6 after fluid-air exchange and remained in prone position for 7 days. Visual acuity was evaluated as logMAR. Results:ILM was well stained by a single use of brilliant blue G. Visual acuity improved significantly 3 months after surgery to remain for 6 months without macular injury or visual field defect in this group. There was no difference among the 3 groups regarding rate of hole closure or course of visual acuity. Conclusion:Brilliant blue G is effective and safe in staining ILM in macular hole surgery.

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63巻2号 (2009年2月)
電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院