Modified technique of internal limiting membrane staining in idiopathic macular hole surgery

Purpose To describe a new method of ILM staining with TB under perfluorocarbon in cases of full thickness idiopathic macular hole using the inverted ILM flap technique. Methods This study was a prospective interventional case series that included 42 eyes of 42 patients who had full thickness idiopat...

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Bibliographic Details
Published in:International ophthalmology 2019-03, Vol.39 (3), p.557-562
Main Authors: El-Baha, Samir Mohamed, Abouhussein, Mahmoud Alaa
Format: Article
Language:English
Subjects:
Contours
Eye
Eye (anatomy)
Medicine
Medicine & Public Health
Ophthalmology
Original Paper
Patients
Retina
Shape
Staining
Surgery
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Summary:Purpose To describe a new method of ILM staining with TB under perfluorocarbon in cases of full thickness idiopathic macular hole using the inverted ILM flap technique. Methods This study was a prospective interventional case series that included 42 eyes of 42 patients who had full thickness idiopathic macular hole with a minimum diameter more than 400 µm. Patients consecutively underwent vitrectomy with inverted ILM flap technique using the modified ILM staining method. Results Anatomic success was achieved in 40 patients (95.2%). The other two patients had flat-open macular holes with bare RPE (foveal defect of neurosensory retina). Among the 40 eyes with closed holes, 25 eyes were of the U-type closure (normal foveal contour) and 15 eyes were of the V-type closure (steep foveal contour). These 40 eyes remained closed during the 6 months follow-up period. Conclusion The modified technique of ILM staining using TB under PFCL is safe and effective in cases of idiopathic macular hole combined with the inverted ILM flap technique.
ISSN:0165-5701
1573-2630
DOI:10.1007/s10792-018-0842-1