content top

Advantages of ILM Blue

Before seeing the advantages of the ILM Blue in ERM surgery, compared to the other dyes, we must analyze what we want to dye: ERM is composed on a plaque of posterior hyaloid which is a collagen 2 structure responsible of reflection and metamorphopsia, the ILM (one micron collagen 4 structure) invaded by glial proliferation (astrocytes and Mueller cell end-feet filled with microfibrils of GFAP). ILM peeling works because, when we remove...

Read More

My Way of Using the Coomasie Blue

Coumassie Blue or Brilliant Blue G (BBG) has been introduced as a surgical adjuvant for chromovitrectomy in 2006. This dye was reported to stain the ILM and to have no significant in vivo toxicity. In contrast Triamcinolone Acetonide produces a better vitreous visibility, the crystals of the steroid adhere to the acellular tissue, thereby enabling a clear contrast between the empty vitreous cavity compared to areas with the vitreous...

Read More

Brillant Blue: An Excellent Dye to Peel the ILM

PurposeĀ : To evaluate the potential of brillant blue g (BBG) for intraoperative staining of the inner limiting membrane (ILM) and to compare the different concentration of BBG showing the efficacy to stain. Methods: Review, interpretation and commentary regarding the most relevant stain, showing 2 different concentration of BBG. Results: The cases reviewed included the following diagnoses: epiretinal membrane (2), macular hole (5),...

Read More

Vitrectomy Dyes: The Blues of Vitrectomy !

Many surgeons use dyes during vitrectomy surgery to enhance visualization of intraocular structures such as vitreous, epiretinal membranes and internal limiting (ILM). Several dyes are employed for this purpose including trypan blue, brilliant peel, indocyanin green and some newer Lutein based dyes. Triamcinolone is also used to improve the visualization of the vitreous gel and the posterior hyaloid. In this presentation, we aim to...

Read More

Advantages of Membrane Blue / Membrane Blue Dual

I use routinely trypan blue since 2002 and operated more than 5000 cases during that time. Trypan blue is a non- specific dye. It stains vitreous, epiretinal membranes and ILM and I find it advantageous to improve visualization of all the tissue with a single dye. Trypan blue is non-toxic. Trypan blue is approved for vitreoretinal surgery. The effectiveness of staining depends on the observation system Different cases. Contact...

Read More

Magnet-assisted Removal of IOFB

Purpose: To evaluate the efficacy of our technique in achieving safe and atraumatic removal of posterior segment magnetic intraocular foreign bodies. Methods: A prospective study carried out at the ophthalmology department, Zagazig university hospitals, Zagazig, Egypt. The study included 45 eyes of 45 patients with posterior segment magnetic intraocular foreign bodies. Eight patients had already undergone primary surgical repair before....

Read More
content top