Journal of the Korean Ophthalmological Society 2005;46(8):1361-1367.
Published online August 31, 2005.
The Outcomes After Indocyanine Green-assisted Peeling of the Internal Limiting Membrane in Macular Hole Surgery.
I Rum Hahm, Kee Sun Tae, Sung Won Cho, Tae Gon Lee, Soon Hyun Kim, Jong Woo Kim, Jae Heung Lee
1Myung-Gok Eye Research Institute, Department of Ophthalmology, Konyang University, Kim's Eye Hospital, Seoul, Korea. kon801@kornet.net
2Department of Ophthalmology, Konyang University College of Medicine, Deajon, Korea.
황반원공 환자에서 인도시아닌그린 염색 및 내경계막제거술 여부에 따른 수술성적 비교
함이룸1,태기선1,조성원1,이태곤1,김순현1,김종우2,이재흥1
Myung-Gok Eye Research Institute Department of Ophthalmology, Konyang University, Kim’s Eye Hospital1, Seoul, Korea Department of Ophthalmology, Konyang University College of Medicine2, Deajon, Korea
Correspondence:  I-Rum Hahm, M.D.1
Abstract
PURPOSE
To investigate whether indocyanine green (ICG) staining of the internal limiting membrane (ILM) improves surgical and visual outcomes in macular hole surgery. METHODS: Three consecutive groups of patients with stage 3 and stage 4 macular hole underwent standard vitrectomy. Group I (45 eyes) underwent an adjunctive peeling of ILM stained with intravitreal application of 0.1 ml of 0.5% ICG dye, group II (23 eyes) an adjunctive ILM peeling without use of ICG dye, and group III (23 eyes) no adjunctive technique. Postoperative anatomic closure rates of the hole and the logarithm of the minimal angle of resolution (logMAR) visual acuity improvement were compared among the groups. RESULTS: The mean age was 61 years, and the mean follow-up period was 11 months. The rate of macular hole closure, as determined by optical coherence topography was 70% in group I, 61% in group II, and 61% in group III, and the difference were not statistically significant (p=0.726). The differences between preoperative and postoperative logMAR visual acuities among the three groups were not statistically significant (p=0.898). CONCLUSIONS: Intravitreal ICG-assisted ILM peeling did not improve anatomic outcomes in macular hole surgery. (Ed-confirm, something appears to be missing here)
Key Words: Indocyanine green;Internal limiting membrane;Macular hole surgery


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