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NR. 4/2009
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Wizualizacja błony
granicznej wewnętrznej (ILM) za pomocą Brilliant Peel® w
chirurgii otworów plamki
Internal Limiting Membrane (ILM) Visualization with Brilliant
Peel® in the Macular Hole Surgery
Maria Kmera-Muszyńska, Magdalena
Ulińska, Małgorzata Wojnarowska-Kucharska
Katedra i Klinika Okulistyki II Wydziału Lekarskiego
Warszawskiego Uniwersytetu Medycznego
Samodzielny Publiczny Kliniczny Szpital Okulistyczny w Warszawie
Kierownik: prof. dr hab. n. med. Jerzy Szaflik |
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| Summary: |
Most vitreo-retinal
surgeons use some dyes to visualize internal limiting
membrane (ILM) during macular hole and macular pucker
surgery. The procedure of tissue dying during vitrectomy
is called chromovitrectomy. This technique improves ILM
visualization and enables it’s safe peeling.
The aim of the study was to present our own experience
with Brilliant Blue G (BBG, Brilliant Peel®) use in ILM
dying.
Method: We treated 36 patients with idiopathic macular
holes (17 eyes in stage III and 19 in stage IV) in whom
we used Brilliant Peel® during vitrectomy to dye ILM.
After hyaloid core removal, posterior vitreous
detachment was created in cases of its absence. BBG
solution (0.25 mg/ 1 ml) was injected into the vitreous
cavity and then washed out. We observed very good ILM
visualization, which enabled easy and safe ILM removal.
Results: In 91.6% of cases we achieved final closure of
macular hole. In 58.3% we observed visual acuity
improvement of at least 2 Snellen lines. No adverse
effects were observed during follow-up period, which was
at least 3 months (ranging between 3 and 12).
Conclusion: We may confirm that Brilliant Peel® is
useful and safe in chromovitrectomy for macular hole
surgery. |
| Key words: |
internal limiting membrane,
chromovitrectomy, Brilliant Blue G (Brilliant Peel®),
macular holes. |
| Słowa kluczowe: |
błona graniczna
wewnętrzna, chromowitrektomia, błękit brylantowy G (Brilliant
Peel®), otwory plamki. |
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