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Advantages of ILM Blue in Macular Surgery

Internal Limiting membrane removal has been confronted by 2 obstacles for several years. These obstacles are circumvented nowadays by: Minimising the surgical trauma induced to the neurosensorial tissue, and the certainty to have removed the complete limiting membrane, from the papilla to the temporal raphe, and going until the vascular arcades. The use of a dye that was shown to be non-toxic allows a controllable, complete and...

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Combined Peeling of Epiretinal and Internal Limiting Membranes with the Single Injection of Membrane Blue-dual Dye in Eyes with Idiopathic ERM

Objective: Epiretinal membranes are sometimes multilayered which needs peeling more than once during vitrectomy. Although some surgeons prefer not to peel ILM in the surgical management of ERMs; ILM peeling is shown to decrease the recurrence of ERMs while not affecting the visual outcome. Different dyes may be used to stain ERM and ILM, although toxicity concerns still exist especially regarding the use of ICG. Also multiple times of...

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Rhegmatogenous Retinal Detachment with Dislocated Intraocular Lens and Capsular Tension Ring Complex Management in a Single Sitting

Naresh Babu (Madurai, India) Advantages: Intrascleral sutureless technique combined with 20 and 23 Gauge vitrectomy for managing RD and to reinstall a dislocated posterior chamber IOL with the CTR complex in a single sitting, can lead to early rehabilitation. No special haptic architecture or preparation was required. Methods: Surgical treatment of a dislocated IOL-Capsular Tension Ring complex and RD includes removal of the PCIOL and CTR...

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ILM Peeling with Brilliant Blue in Retinal Detachment with a Macuar Hole in a Highly Myopic Eye

Nur Acar, Ziya Kapran, Yaprak Banu Unver (Istanbul, Turkey) ILM peeling in retinal detachment with a macuar hole in a highly myopic eye is sometimes difficult. In this video ILM peeling with Brilliant Blue in retinal detachment with a macuar hole under heavy perflourocarbon fluid in a highly myopic eye is demonstrated. In highly myopic young eyes ILM may be very tightly adherent, and sometimes statining with triamcinolone acetonide is not...

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Brilliant Peel Assisted Macular Hole Surgery

Yuksel Totan, Fatma Betul Aydogdu, Emre Guler (Ankara, Turkey) Advantages: To evaluate the surgical experiences with Brilliant blue G (BBG) staining of the inner limiting membrane (ILM) and the outcomes of BBG assisted macular hole surgery. Methods: In 10 patients with stage 3-4 idiopathic macular holes, BBG (Brilliant peel, Fluoron) was applied following complete posterior vitreous detachment on the macular surface under air conditions for...

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Vitrectomy with Epimacular Membrane Peeling Using Dye (Brilliant Peel) and IOL Exchange after Complicated Cataract Surgery

http://www.evrs.eu/medias/2010/videos/AhmedIbrahim_2_VP6_768K.flv Ahmed Ibrahim, Ashraf Radwan (Jeddah, Saudi Arabia) Advantages: Using dye (Brilliant peel) makes the removal of fine epimacular membrane easier and easy to identify with decrease the risk of complications especially in anterior segment complications with narrow pupil. Methods: IOL extraction from anterior chamber (posterior chamber IOL was implanted in anterior chamber!!!)...

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