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A new surgical approach for indocyanine green-assisted internal limiting membrane peeling

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Avcı, Remzi
Avcı, Berrin
Kaderli, Berkant
Çavuşoǧlu, İlkin

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Slack

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Abstract

BACKGROUND AND OBJECTIVE: The efficiency of indocyanine green (ICG) dye in the removal of the internal limiting membrane (ILM) with a fluid needle using passive aspiration was evaluated. PATIENTS AND METHODS: Eighteen consecutive patients with diffuse diabetic macular edema were studied. After vitrectomy and total fluid-air exchange, 0.1 mL of ICG solution 0.25% was left in the macular area for 1 minute. Then the macular ILM was peeled with a specially designed tapered fluid needle using passive aspiration. RESULTS: In 16 of the 18 eyes, the peeling procedure could be easily performed with a tapered fluid needle using passive aspiration. In 11 eyes, partial development of spontaneous ILM detachment prior to the peeling process was also observed. CONCLUSIONS: ICG solution 0.25% appears to reduce the adhesive force of the ILM to the sensory retina, which makes the removal of the ILM much easier by passive aspiration with a fluid needle.

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Bu çalışma, 31 Ağustos- 04 Eylül 2002 tarihleri arasında Montreux[İsviçre]’de düzenlenen 23. Meeting of the Club- Jules- Gonin’de bildiri olarak sunulmuştur.

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Ophthalmology, Surgery, Macular hole surgery, Pigment epithelial-cells, Removal, Vitrectomy, Management, Dissection, Edema

Citation

Avcı, R. vd. (2004). “A new surgical approach for indocyanine green-assisted internal limiting membrane peeling”. Ophthalmic Surgery Lasers and Imaging, 35(4), 292-297.

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