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KMID : 0360220060470101589
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Journal of the Korean Ophthalmological Society
2006 Volume.47 No. 10 p.1589 ~ p.1596
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Comparison of Outcomes of ILM Peeling Using Triamcinolone and Indocyanine Green during Idiopathic Macular Hole Surgery
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최은수/Choi ES
최영락/윤희성/Choi YR/Yoon HS
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Abstract
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PURPOSE: To compare the outcomes of indocyanine green (ICG) and triamcinolone (TA) assisted internal limiting membrane (ILM) peeling during idiopathic macular hole surgery.
METHODS: Fifty-four eyes of 54 patients with idiopathic macular hole underwent pars plana vitrectomy including peeling of the posterior cortical hyaloid and peeling of the internal limiting membrane. For enhanced visualization of ILM, ICG was used in 25 eyes and TA in the remaining 29 eyes. Postoperative visual acuity was measured and OCT was performed.
RESULTS: Anatomical closure was achieved in 25 eyes (100%) in ICG group and 28 eyes (97%) in TA group, Best corrected visual acuity improvement by > or =2 lines was in 15 eyes (60%) in ICG group and 18 eyes (62%) in TA group. Postoperative visual improvement rates by > or =20/50 were 10 eyes (40%) in ICG group and 9 eyes (31%) in TA group.
CONCLUSIONS: Peeling of the internal limiting membrane using triamcinolone and indocyanine green was safe and effective for anatomic and functional success in idiopathic macular hole surgery. Further studies of the toxicity of TA, ICG and the result of internal limiting membrane peeling is needed.
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KEYWORD
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Indocyanine green, Internal Limiting membrane, Macular hole, Triamcinolone
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