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Swelling and Dimpling of Inner Retinal Layer After Internal Limiting Membrane Peeling: Multimodal Assessment

Purpose: To investigate the inner retinal layer outcome after internal limiting membrane (ILM) peeling in idiopathic epiretinal macular membrane (ERM) with new Spectral Domain Optical Coherence Tomography (SD-OCT). Design: Prospective, randomized, comparative case series Participants: Thirty-four eyes with ERM underwent pars plana vitrectomy with (n= 19) or without (n= 15) ILM peeling associated. Methods: Vitrectomy and ERM removal were...

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Evolving Concepts in Pharmacologic Vitreolysis

Brooks W. McCuen, II, MD (Durham, NC) The attachment of the cortical vitreous to the inner limiting lamina of the retinal surface plays an important role in the pathophysiology of many vitreoretinal diseases, such as idiopathic macular hole, vitreomacular traction syndrome, penetrating ocular trauma and proliferative diabetic retinopathy. Despite continued improvement in techniques and instrumentation, achieving an atraumatic cleavage of...

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Ultrastructural Morphometry of the Internal Limiting Membrane (ILM) in the Laboratory Universal Computer Image Analysis System

Bohdana Kalvodova, MD (Prague, Czech Republic), Jaroslava Duskova, MD, PhD (Prague, Czech Republic), Tarek Aboutable, MD, PhD (Prague, Czech Republic), Martin Janek, MD (Prague, Czech Republic), Evantia Omoscharkas, MD (Prague, Czech Republic) PURPOSE: Removal of the posterior hyaloid and ILM during microsurgery appears to have a positive influence on the resolution of diabetic macular edema (DME) and idiopathic macular hole (IMH)....

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Trypan Blue-assisted Vitrectomy: More Condiments in France

http://www.evrs.eu/medias/2006/videos/Trypan-Blue-assisted-Vitrectomy:-More-Condiments-in-France.flv J. Fernando Arevalo, MD, FACS (Caracas, Venezuela), Juan G. Sanchez, MD (Caracas, Venezuela) SYNOPSIS We evaluated the efficacy of trypan blue (TB) dye for the staining and removal of the internal limiting membrane (ILM), epiretinal membranes (ERM), and the mechanical detachment of the posterior hyaloid during pars plana vitrectomy. No...

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Results and Complications of Vitrectomy and Internal Limiting Membrane Removal in the Treatment of Macular Edema

Ferenc Kuhn, Robert Morris, Viktoria Mester, Gyongyi Kiss, Zsuzsanna Szijarto, Balint Kovacs, Beatrix Cser Purpose: To evaluate the results and complications of internal limiting membrane (ILM) removal in the treatment of macular edema. Methods: Retrospective and prospective studies on eyes undergoing vitrectomy with ILM removal for eyes with clinically significant macular edema. Results: Of the 68 eyes, follow-up (average: 9 months) was...

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Results of Surgery in Traumatic Macular Holes

http://www.evrs.eu/medias/2005/congress/Results-of-Surgery-in-Traumatic-Macular-Holes.swf Tugrul Altan, Mehmet Çakir, Ziya Kapran, Irfan Perente, Nur Acar, Yaprak B. Ünver, Zerrin Bayraktar, Canan Aslı Utine Purpose: To evaluate the anatomical and functional success of pars plana vitrectomy (PPV) in traumatic macular holes. Methods: The records of 5 eyes of 5 patients who underwent PPV due to traumatic macular hole between September 2001...

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Short Term Functional and Anatomic Changes after 25G Vitreoretinal Surgery for Epiretinal Macular Membranes (ERM)

F. Boscia, C. Furino, N. Cardascia, L. Sborgia, N. Recchimurzo, C. Sborgia Purpose: To evaluate immediate and short term functional and anatomic changes of using the 25-gauge pars plana vitrectomy (25G-PPV) for epiretinal macular membranes (ERM). Methods: Prospective study of a consecutive interventional case series. Ten eyes of 10 phakic patients with idiopathic ERM and clear media underwent 25G-PPV and ERM removal with indocyanine-green...

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Surgical Slit Lamp Advantages for Macular Surgery

Didier Ducournau Numerous advantages are provided by using the slit microscope and tilted five to seven degrees from the axis. The fact that the surgeon’s second hand is free, allowing him to stabilise forceps, enables a better precision. The fact the light is close to the axis increases the membrane reflex visualisation. The two advantages allow the surgeon not to use colouring agents. This decreases the global price of the procedure...

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Kenalog Assisted Removal of ILM in Macular Hole Surgery

http://www.evrs.eu/medias/2005/congress/Kenalog-Assisted-Removal-of-ILM-in-Macular-Hole-Surgery.swf Theodoros Potamitis Purpose: To assess the value of kenalog coating in the removal of ILM for macular hole surgery. Methods: The results of 44 cases of macular holes, stages III and IV, treated surgically are reviewed. The results of cases performed without kenalog (18) are compared to those in which kenalog was used to aid the removal of the...

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Trypan Blue Staining for Macular Hole and Macular Pucker Surgery

Nawrocki Jerzy, Nawrocka Zofia, Michalewska Zofia, Michalewski Janusz Purpose: The aim of the video is to present the technique of macular hole and macular pucker surgery with the use of trypan blue. Methods: Standard pars plana vitrectomy is performed. After closing the infusion line trypan blue staining is injected slowly on the macula surface. After one minute trypan blue staining is removed. Removal of epiretinal membranes and the ILM...

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The Use of Trypan Blue for the Staining of the ILM. Why not?

V. Ferrara, D. Battistello, V. Belloli Purpose: The peeling of the Internal Limiting Membrane (ILM) has became a common step in macular surgery in almost all macular surface surgeries. Indocyanine Green (ICG) still remains the most used dye for facilitating the maneuver. Nevertheless, the are several evidences of toxicity occurred after its use. Since almost two years a new colorant (Trypan Blue) has been introduced in the market to stain...

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Trypan Blue-Assisted Removal of Internal Limiting Membrane (ILM) and Epiretinal Membrane (ERM)

Murat Oncel Purpose: This film documents the technique of peeling the internal limiting membrane and epiretinal membrane in cases of severe PVR, macular holes, macular edema (diabetic cases, branch and central retinal vein occlusion) with the aid of trypan blue.

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Pars Plana Vitrectomy (PPV) with ILM Peeling in Maculer Hole Surgery

http://www.evrs.eu/medias/2005/congress/Pars-Plana-Vitrectomy-(PPV)-with-ILM-Peeling-in-Maculer-Hole-Surgery.flv Yaprak Banu Ünver, MD, Nur Acar, MD, Ziya Kapran, MD, Mehmet Cakır, MD, Zerrin Bayraktar, MD, Tugrul Altan, MD, Eylem Y. Pınarcı, MD In stage 2, 3 and 4 maculer holes, anatomical and functional success is achieved with vitreoretinal surgery (VRC). Internal limiting membran (ILM) peeling with or without staining increases the...

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ILM Removal: How Does it Work?

Didier Ducournau, Yvette Ducournau 56 ILM from ERM and MH were submitted, in 1988, to a histopathological study with a immunocytochemistry and scanning electron microscopy. A gliosis, GFAP positive, was found on each specimen. A systematic ILM removal was then performed in ERM and in MH since 1989. Over 12 000 cases were performed with a higher medium improvement compared to what is usually reported without ILM removal. In cases of CME, ILM...

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Pre and Postoperative Functional and Anatomical Changes in Patients with Idiopathic Epiretinal Membrane

http://www.evrs.eu/medias/2005/congress/Pre-and-Postoperative-Functional-and-Anatomical-Changes-in-Patients-with-Idiopathic-Epiretinal-Membrane.swf F. Becquet, X. Zanlonghi, L. Libeau Purpose: To evaluate retinal macular function and morphology before and after removal of unilateral idiopathic epiretinal membrane (ERM). Methods: In this prospective case-control study, nine patients (9 eyes, mean age of 69 years) with unilateral ERM...

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