Journal of the Korean Ophthalmological Society 2004;45(3):444-450.
Published online March 1, 2004.
Internal Limiting Membrane Peeling Using Indocyanine Green in Vitrectomy for Idiopathic Macular Hole.
Byoung Yong Song, Kyu Youn Ahn, Man Seong Seo
1Department of Ophthalmology, Chonnam National University Medical school and Hospital, Gwangju, Korea. msseo@chonnam.ac.kr
2Department of Anatomy, Chonnam National University Medical school and Hospital, Gwangju, Korea.
3Chonnam National Research Institute for Medical Sciences, Gwangju, Korea.
특발황반원공에 있어 Indocyanine green 염색을 이용한 내경계막제거술
송병용 ( Song Byeong Yong ) , 안규윤 ( An Gyu Yun ) , 서만성 ( Seo Man Seong )
Abstract
PURPOSE
To evaluate the effectiveness of internal limiting membrane (ILM) peeling using indocyanine green (ICG) on the surgical results of the vitrectomy for idiopathic macular holes. METHODS: We analyzed the anatomical and functional results of the macular hole surgeries without internal limiting membrane (ILM) peeling (group I; 32 eyes) and with ILM peeling using ICG (group II; 22 eyes). RESULTS: In group I and group II, mean age was 62 years and 64 years, and follow-up period was 17 months and 8 months, respectively. Anatomical success (P=0.528); 28 eyes (87.5%) vs. 20 eyes (90.9%), mean best visual acuity (P=0.004); 0.41 vs. 0.26, final visual acuity (P=0.006); 0.32 vs. 0.16, improvemant of best visual acuity (P=0.051); 2.88 lines vs. 1.59 lines, improvement of final visual acuity (P=0.048); 1.97 lines vs. 0.82 lines, and functional success rate (P=0.063); 24 eyes (75.0%) vs. 12 eyes (54.5%) were shown. Visual acuities better than 0.4 were found in 12 eyes (37.5%) of group I and in 5 eyes (22.7%) of group II (P=0.001). CONCLUSIONS: ILM peeling using ICG might produce a negative effect on the functional results, thereby requiring care with handling ICG.
Key Words: Indocyanine green;Internal limiting membrane;Macular hole


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