Makula Deliği Tedavisinde Brilliant Mavisi Yardımı ile İnternal Limitan Membran Soyulması

Authors : Abdullah ÖZKIRIŞ

Pages : 140-144

View : 23 | Download : 11

Publication Date : 2010-09-01

Article Type : Research Paper

Abstract :Brilliant blue-assisted peeling of the ınternal limiting membrane in the treatment of macular hole Purpose: To evaluate the anatomical and visual outcomes of brilliant blueassisted peeling of the internal limiting membrane ILM in patients with idiopathic macular hole IMH . Materials and Methods: The charts of 32 patients 32 eyes who had undergone PPV combined brilliant blue-assisted ILM peeling due to idiopathic macular hole were retrospectively reviewed. There were 10 men and 22 women, and the mean age of the patients was 64.4 years. In all patients, a complete ophthalmological examination including visual acuity determination, slit-lamp biomicroscopy, intraocular pressure IOP measurement, fundus examination, fundus fluorescein angiography FFA and optical coherence tomography OCT was performed before and after surgery. Results: Visual acuity averaged at 0.098 Snellen lines before surgery. The mean follow-up time was 9.2 months and vision acuity improved or unchanged in %93.7 of patients after surgery. The average improvement in visual acuity was 3.2 lines. The most common complication was cataract formation after surgery 59.0% . Postoperative rhegmatogenous retinal detachment was observed in two eyes 6.2% . After surgery, the rate of unclosed macular hole was 12.5%, and anatomically closed after reoperation. The rate of recurrence of macular hole was 3.1%. Conclusion: We observed that PPV combined with brilliant blue-assisted ILM peeling is a safe and effective procedure and increases the visual acuity.
Keywords : idiopathic macular hole, brilliant blue, internal limiting membran peeling