Staining of internal limiting membrane in macular hole surgery

Staining of internal limiting membrane in macular hole surgery
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DOI:
10.1001/archopht.118.8.1116
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发表时间:
2000-08-01
影响因子:
--
通讯作者:
Ohno, S
Ohno, S
中科院分区:
其他
文献类型:
--
作者:
Kadonosono, K;Itoh, N;Ohno, S

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去除内界膜(ILM)是关闭特发性黄斑裂孔的一种潜在有用的手术方法。然而,由于ILM的可见性差,难以执行ILM的移除。我们开发了一种用吲哚菁绿色溶液对ILM进行染色的技术,以便于去除患有特发性黄斑裂孔的眼睛中的ILM。13例患者(8名女性和5名男性,年龄从54岁到68岁)的13只眼患有特发性黄斑裂孔3期或4期,使用该技术切除ILM,解剖学闭合率为92%,视力改善率为89%(大于或等于2个Snellen字母视力表线)。使用透射电子显微镜对切除的标本进行评价。我们的研究结果表明,这种技术是安全和有用的,在可视化的ILM,导致的性能,成功地去除ILM的视网膜损伤最小。
Removal of internal limiting membranes (ILMs) is a potentially useful surgical approach to close an idiopathic macular hole. However, the removal of ILMs is difficult to perform because of poor visibility of the ILMs. We have developed a technique for staining the ILM with a solution of indocyanine green to facilitate the removal of ILMs in eyes with an idiopathic macular hole. Thirteen eyes of 13 patients (8 women and 5 men, aged from 54 to 68 years) with idiopathical macular hole stage 3 or stage 4 that underwent removal of ILMs using this technique had an anatomical closure rate of 92% and an improvement of visual acuity of 89% (greater than or equal to 2 Snellen letter chart lines). The excised specimens were evaluated using transmission electron microscopy. Our results show that this technique is safe and useful in visualizing the ILM, leading to the performance of successful removal of an ILM with least damage to the retina.