Triamcinolone acetonide-assisted peeling of the internal limiting membrane
Triamcinolone acetonide-assisted peeling of the internal limiting membrane
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DOI：
10.1016/s0002-9394(03)00782-7
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发表时间：
2004-01-01
影响因子：
4.2
通讯作者：
Nagata, M
中科院分区：
文献类型：
--
作者：
Kimura, H;Kuroda, S;Nagata, M
目得：我们报告了一种新的技术，剥离内界膜（ILM）使用曲安奈德（TA），以促进可视化手术过程中。设计：介入性病例系列：方法：在4例黄斑裂孔患者的4只眼中，在玻璃体切除术中使用TA来显示玻璃体。手术分离后玻璃体与视神经乳头和后视网膜后，将TA混悬液注射到后极上。结果：在黄斑裂孔周围用眼内镊环向剥离ILM，TA颗粒呈白色斑点状散在视网膜后部。一旦ILM被剥离，剥离的区域被清楚地可视化为缺少白色斑点的区域。所有患者的黄斑裂孔均闭合。在3个月的随访期内没有观察到不良反应。结论：TA辅助ILM剥离是一种有效和安全的黄斑裂孔手术技术。
PURPOSE: We report on a new technique to peel the internal limiting membrane (ILM) using triamcinolone acetonide (TA) to facilitate visualization during surgery. DESIGN: Interventional case series.METHODS: In four eyes of four patients with macular hole, TA was used during vitrectomy to visualize the hyaloid. After the posterior hyaloid was surgically separated from the optic nerve head and posterior retina, TA suspension was injected over the posterior pole. Intraocular forceps was used to peel the ILM in a circumferential manner around the macular hole.RESULTS: Numerous particles of TA were dispersed over the posterior retina as white specks. Once the ILM was peeled, the peeled area was clearly visualized as an area lacking the white specks. In all patients, the macular holes closed. No adverse reactions were observed during the 3-month follow-up period.CONCLUSIONS: TA-assisted ILM peeling is an effective and safe technique for macular hole surgery.