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Triamcinolone-Assisted Internal Limiting Membrane Peeling During Idiopathic Macular Hole Surgery
Naoichi Horio, MD;
Masayuki Horiguchi, MD;
Naoki Yamamoto, PhD
Arch Ophthalmol. 2005;123:96-99.
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INTRODUCTION
We have developed a new technique to facilitate internal limiting membrane (ILM) peeling with triamcinolone acetonide during idiopathic macular hole surgery. Twelve eyes of 12 patients with a macular hole, stage 2 to 4 and size 0.12 disc diameters (DD) to 0.39 DD (mean, 0.20 DD), underwent vitrectomy with ILM peeling using triamcinolone. Before ILM peeling, a triamcinolone suspension (8 mg/mL in balanced salt solution) was sprayed around the macular hole, and the triamcinolone in the vitreous cavity was aspirated slowly, making the ILM more visible. Postoperatively, the macular hole was closed in all eyes, and the visual acuity was improved from 20/200 to 20/40 (median, 20/130) to 20/60 to 20/20 (median, 20/40). This technique can facilitate the ILM peeling without any adverse effects in this short-term observation.
Internal limiting membrane peeling during macular hole surgery improves the closure rate and . . . [Full Text of this Article]
METHODS
SURGICAL TECHNIQUE
RESULTS
COMMENT
AUTHOR INFORMATION
Author Affiliations: From the Department of Ophthalmology, Fujita Health University, School of Medicine, Aichi, Japan.
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Effects of intravitreal triamcinolone acetonide injection with and without preservative
Maia et al.
Br. J. Ophthalmol. 2007;91:1122-1124.
ABSTRACT
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