content top

Macular ILM-peeling with Lutein Enriched Dye in High Myopic Eyes

ILM-peeling is a PVR-prophylactic procedure in retinal detachment surgery. High myopia is a main risk factor for retinal detachment. ILM-peeling in high myopic eyes is a challenge even for experienced surgeons. This is due to especially strong connections between vitreous, epiretinal membrane and retinal surface. The prolonged time of ILM-peeling in high myopic eyes could increase the phototoxicity. This can result in potentially worse...

Read More

Vitrectomy and ILM Peeling With and Without Fovea-sparing IML in Bilateral Myopic Foveoschisis

SCIENTIFIC POSTER 2016_Vitrectomy and ILM Peeling With and Without Fovea-sparing IML in Bilateral Myopic Foveoschisis Natalia Ferreira The authors describe the case of a 39-year-old female, with high myopia and bilateral myopic foveoschisis. She underwent an anterior chamber phakic IOL implantation in both eyes, 6 years before. She started to complain of decreased visual acuity and metamorphopsia since a few months ago and she was referred...

Read More

The Paradox of ILM Peeling: It Is Traumatic but it Works…Why ?

ILMP is challenged because it may injure the Retinal Fiber and the Retinal Ganglion cells layers. And indeed ILMP tears Muller Cells (MC) endfeet, and eventually retinal astrocytes, and endothelial cells. However numerous studies as well as routine clinical practice have long shown that well-conducted Vitrectomy-ILMP can reabsorb macular edema and improve visual acuity in the majority of cases. It is acknowledged today that EGFR (Epidermal...

Read More

Reverse Triamcinolone Staining for ILM Peeling

In this video, we will see how reverse triamcinolone acetonide (TA) staining can be used to make internal limiting membrane (ILM) peeling, easier and safer. The ILM is the layer that borders the vitreous body and the retina, and also the basement membrane for the muller cells. It functions as the foothold for cell reproduction and is involved in macular diseases, such as epiretinal membrane or vitreo- macular traction. The expected...

Read More

Limitless Internal Limiting Membrane

Internal Limiting Membrane (ILM) peeling is actually a common surgical procedure performed in different retinal disorders like epiretinal membrane, macular edema of various etiology, foveosquisis, macular hole or sub-ILM hemorrage. Current treatment of macular hole is vitrectomy associated to complete IML peeling or inverted IML flap technique. However, macular hole closure failure can occur in few cases after standard procedure. In the...

Read More

Inverted ILM Flap Technique for MH in High Myopia: A Case Report

Purpose: To report the surgical technique and efficacy of the inverted internal limiting membrane (ILM) flap technique for an idiopathic macular hole (MH) in high myopia. Case presentation: A 47-year-old female with a full thickness macular hole with foveoschisis underwent pars plana vitrectomy with 23 gauge plus transconjunctival system, ILM peeling and SF6 gas tamponade. Axial length was 29.96mm and best corrected visual acuity was 0.06...

Read More

Chronic Diffuse DME: The Role of Vitrectomy vs Intravitreal Therapy

Introduction: Macular edema is the main cause of visual loss in diabetic patients. In spite of the ample choice of therapeutic modalities, chronic macular edema management is a challenge to this date. Aside from laser and intravitreal therapies, the newest proposal by some authors has been vitrectomy with ILM peeling as a possible solution for many therapy-resistant cases, or even naive cases. Reducing traction, increasing retinal...

Read More

Delicate Procedure for Internal Limiting Membrane Peeling in Macular Edema

Iurii Belyi_SCIENTIFIC POSTER 2015_1 Purpose: To develop an optimized mechanical method of internal limiting membrane peeling. Method: We observed 3 patients with cystic macular edema of various etiologies. All patients were examined before and after the operation for: best corrected visual acuity (BCVA), intraocular pressure, perimetry, optical coherence tomography (OCT) (Stratus, Carl Zeiss Meditec) and retina photography. According to...

Read More

RNFL Thickness Modification After ILM Peeling: A 4-year Follow-up Study

Antonio Ciardella_SCIENTIFIC POSTER 2015 Purpose: To evaluate RNFL thickness modification after ILM peeling for idiopathic macular hole (MH) or epiretinal membrane (ERM) during a follow up period of 45 months. Methods: Interventional, prospective, non randomized case series. Twenty eyes of 20 patients (76,7±6,6 years) who underwent pars plana vitrectomy and brilliant blue G – assisted ILM peeling were evaluated 24,2±1.2 and...

Read More

Inverted ILM Flap Technique for Myopic MH & Retinoschisis

Introduction: In highly myopic eyes, macular hole is one of the most vision-threatening complications due to visual impairment and the risk of developing a retinal detachment. Possible pathogenetic factors in are tangential traction attributable to the vitreous or hyaloid membrane and vertical traction attributable to the elongation of posterior staphyloma. However, these factors are not clearly elucidated in highly myopic macular holes....

Read More

Perfluoro-n-octane Assisted ILM Free Flap Technique for Recurrent MH

It is challenging to achieve hole closure in chronic large macular holes or highly myopic eyes. Recently, various surgical techniques have been introduced using the ILM, and we also reported a technique to cover a macular hole with a Internal Limiting Membrane (ILM) inverted flap as a single layer using Perfluoro-n-octane(PFO). However, these procedures are not feasible f or recurrent macular hole that the ILM around the macular hole has...

Read More

Idiopathic Macular Hole: A Funny Trick and Different Inverted ILM Flap Techniques

Introduction: Idiopathic full thickness macular holes are foveal anatomic defects with interruption of all neurosensory retinal layers, resulting in visual and functional alterations with significant impact on the patient’s quality of life. Currently, the best therapeutic approach for macular holes is still being debated, after the new classification by the International Vitreomacular Study Group. Several surgical methods have been...

Read More

PPV with ILM Removal, Silicone Oil Filling & Face-down Positioning for Refractory CSCR

Purpose: To evaluate the effectiveness of pars plana vitrectomy (PPV) with internal limiting membrane (ILM) removal, silicone oil (SO) placement and face-down positioning for treatment of refractory chronic central serous chorioretinopathy (CSCR). Methods: A retrospective study was performed looking at patients diagnosed with CSCR since 2012. Eyes with non-active CSCR and those that responded to treatment were excluded. Eyes with chronic,...

Read More

Surgical Outcome of Inverted ILM Flap Technique for Large MH. Case Report

Introduction/Purpose: Full-thickness macular hole is an anatomic defect in the fovea featuring interruption of all neural retinal layers from the internal limiting membrane (ILM) to the retinal pigment epithelium (RPE) and represents a relatively common cause of significant reduction in central visual acuity. The surgical treatment with vitrectomy and ILM peeling of a large hole (greater than 400 µm by the International Vitreomacular...

Read More

Routine ILM Peeling for Macula-on & Macular-off RRD: New Data on Functional Outcomes

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Advantages: To analyze functional limits und subjective disturbances despite of anatomically successful surgery for rhegmatogenous retinal detachment (RRD). Methods: 138 eyes with rhegmatogenous retinal detachment (RRD) were studied. Among others, analysis included VA measurement, recording of subjective VA disturbances, binocularity...

Read More

Routine ILM Peeling During Vitrectomy for Rhegmatogenous RD

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Methods: I use membrane blue dual stain, chandelier illumination, and aspheric macular contact lens. I inject the stain on detached retina, then inject heavy liquid (PFCL) for reattachment. The initial ILM incision is done either: Needle Strokes: Unbent 23G needle with bevel down unidirectional strokes OR Forceps strokes: The closed...

Read More

Routine ILM Peeling for Macula off Retinal Detachment

To compare anatomical outcomes, visual acuity results and secondary epirretinal membrane formation rates in patients with macula-off retinal detachment with or without peeling of the internal limiting membrane (ILM). Retrospective study including all patients who underwent vitrectomy for macula-off retinal detachment during the year 2012 in our department. Patients were divided in 2 groups according to whether the ILM was peeled or not. ILM...

Read More

Small Can Be Beautiful: Upgrading the Inverted ILM Flap Technique

The Inverted ILM Flap Technique is a method that I developed for the treatment of macular holes. Postoperative spectral OCT images show that the inverted ILM flap serves as a scaffold for tissue migration or proliferation towards the centre of the macular hole to close the macular hole. The method continues to prove successful in large macular holes, holes of long duration and in myopic macular holes. Initially, when developing the...

Read More

Can Size of ILM Peeling Have an Effect on Elongation of Foveal Tissue After MH Surgery?

Poster Hee Seong Yoon Purpose: To evaluate the relationship between the size of internal limiting membrane (ILM) peeling and elongation of foveal tissue after macular hole (MH) surgery. Methods: The medical records of 64 patients (64 eyes) who developed elongation of foveal tissue on spectral domain optical coherence tomography (SD-OCT) after vitrectomy with ILM peeling and gas tamponade for idiopathic MH were retrospectively reviewed. In...

Read More

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...

Read More

Atraumatic ILM Peeling Without Forceps

Advantages:  An atraumatic ILM peeling is performed using the vacuum of the vitreous cutter, without a forceps, thus it is not traumatizing the retinal nerve fiber layer. Methods: This technique can be used both in 20 gauge and in 23 gauge, or 25 gauge surgery, in three different modes: either, the ERM is peeled using a traditional forceps; the ILM is usually partly removed, too; after another staining, the ILM is peeled using the...

Read More

Photoreceptor Change and Visual Outcome After Idiopathic Epiretinal Membrane Removal with or Without Additional Internal Limiting Membrane Peeling

Advantages: To compare postoperative photoreceptor status and visual outcome after epiretinal membrane (ERM) removal with or without additional internal limiting membrane (ILM) peeling Methods: Medical records of forty eyes from 37 patients undergoing ERM removal with residual ILM peeling (additional ILM peeling group) and 69 eyes from 65 patients undergoing ERM removal without additional ILM peeling (no additional peeling group) were...

Read More

Atraumatic ILM Peeling Without Forceps

Advantages:  An atraumatic ILM peeling is performed using the vacuum of the vitreous cutter, without a forceps, thus it is not traumatizing the retinal nerve fiber layer. Methods: This technique can be used both in 20 gauge and in 23 gauge, or 25 gauge surgery, in three different modes: either, the ERM is peeled using a traditional forceps; the ILM is usually partly removed, too; after another staining, the ILM is peeled using the vacuum...

Read More

Macular Hole Surgery: ILM Removal Without Dye

A 37 year old patient complaining of a blind spot in his central vision and visual acuity reduction following an accidental laser burn. On examination, he was found to have an extensive pre-retinal macular hemorrage. Following reabsorption of the hemorrage a large macular hole (700 microns) was found to be present with visual acuity reduced to 0,2. 25 gauge vitrectomy was performed. Kenalog assisted posterior hyaloid detachment and ILM...

Read More

Combined Peeling of ERM and ILM in One-step After Dying with Brilliant and Trypan Blue Mixture

Epiretinal membranes (ERM) are sometimes multilayered and need peeling more than once during vitrectomy. Different dyes with multiple times of injections may be used to stain ERM, and internal limiting membrane (ILM). In this video combined peeling of ERM, and ILM in a single-step after dying with a brilliant and trypan blue mixture (BBG-TBm) in ERMs is demonstrated. The main objective is to decrease mechanical trauma of sequential peeling...

Read More

ILM Peeling in Patients with Clinically Significant DME: Long-term Outcomes

Background: Diabetic macular edema (DME) is a frequent complication of diabetic retinopathy. It is characterized to increased vascular permeability, due to blood-retinal barriers breakdown. Since macular laser treatment has shown poor efficacy to diffuse edema, surgical option of therapy is discussed. Several studies have proven the efficacy of pars plana vitrectomy (PPV) with inner limiting membrane (ILM) peeling in case of DME with a...

Read More

Does Vitreous Surgery for Diabetes Complications Have an Influence on the Course of Macular Edema in Long-term Follow-up?

Advantages: To evaluate the influence of vitreous surgery performed for vitreous hemorrhage and traction retinal detachment (macular edema excluded) as a complication of diabetic retinopathy with or without ILM peeling on macular edema formation. Additionally to evaluate long-term spectral domain optical coherence tomography (SD-OCT) follow- up of macular structure. Methods: 101 eyes of patients, who had undergone vitrectomy were...

Read More

PPV in Management of Type 1 Non-tractional DME After Failure of all Therapies

Advantages: PPV is a useful method in management of non-tractional, non-ischemic resistant diffuse diabetic macular edema associated with type 1 DM Methods: Type 1 Diabetic macular edema (DME) is typically managed by thermal laser, intravitreal injections and systemic control. An entity of diffuse DME persists despite all therapies. We present 5 cases of diffuse non-tractional, non-ischemic diffuse DME in type 1 DM managed by clear...

Read More

Vitrectomy Outcome in Resistent Non-tractional Diffuse DME

Advantages: Diabetic diffuse macular edema not responding to repeated IV injctions of Anti-VEGF and/or Triamcinolone may benefit from vitrectomy and ILM peeling. Vitrectomy helps to remove factors and mediators that may play a role in production of macular edema and/or its no or poor response to IV injections. ILM peeling ensure complete relieve of traction and may stimulate retinal glial cells mainly Muller cells to reactive fibrosis and...

Read More

Vitrectomy Outcome in Traction Diffuse DME

Advantages: In eyes with diffuse diabetic macular edema and OCT evidence of tangential and/or anteroposterior traction, Vitrectomy techniques allow complete release of traction, restoration of normal or near normal retinal architecture, and functional improvement. Methods: 65 eyes with traction diabetic diffuse macular edema underwent 23 gauge vitrectomy. All eyes underwent preoperative FA and OCT. Vitrectomy was combined with...

Read More

Vitrectomy for DME – An Alternative to Anti-VEGF Therapy?

Advantages: Vitrectomy for diabetic macula edema (DME) is and was used as a second line treatment. Published studies about this therapy option report mainly about small numbers of patients and show heterogenous results. In these times, when ranibizumab starts to dominate the therapy of DME, we want to present the functional results of vitrectomy for DME in a larger number of treated eyes. Methods: Retrospective analysis of the...

Read More

DME: 15 Injections or 1 Surgery?

Advantages: The first author has operated on over 600 eyes with DME in the last two decades. Surgery is typically a one-time intervention, unlike intraocular injections. Methods: Complete vitrectomy with detachment of the triamcinolone-marked posterior hyaloid face. This is followed by removal of the internal limiting membrane (ILM), stained by Indocyanine green. While pneumoretinopexy used to be employed earlier, a preoperative...

Read More

Design of a Comparative Study Anti-VEGF vs Surgery for DME

We will present the study-design of our prospective randomized multi-center study that will start in autumn 2012. Anti-VEGF-therapy has developed to the standard care for diabetic macular edema.  Vitrectomy is an additional treatment option that is able to stabilize DME. The pharmacokinetic effect of a vitrectomy is an increased VEGF-clearance in the eye, but also a higher clearance of intravitreally administered drugs. Consequently,...

Read More

Comparative Study of Vitrectomy with ILM Peeling vs Anti-VEGF in DME

Advantages: To compare anatomic and functional results of vitrectomy with internal limiting membrane (ILM) peeling and anti- VEGF (Avastin) injection for the course of diabetic macular edema. Methods: Comparative non- randomized study of 68 eyes, of patients with diabetic macular edema. 50 eyes were treated with repeated injections of anti- VEGF (Avastin), 18 eyes had undergone vitrectomy with ILM peeling. Pre- and best-achieved...

Read More

ILM Peeling in RVO

The author initiated the ILM Peeling as a treatment of BRVO and CRVO in February 2000 and is continuing this technique due to the quality of the results: 4,15 LogMAR lines of average improvement 69% of patients improved their visual acuity Only 6,4% of patients had a decreased visual acuity Reduction of the edema (by OCT measurement) of 200 µ We will present, this year, the results after long-term follow-up (more than 5 years) in order...

Read More

ILM Peeling in RVO

The study is on 150 patients with a follow-up of at least one year. The aim of the study is to show the interest / advantage of ILM Peeling in RVO considering functional recovery, and to compare these results to other existing techniques. The study shows significantly the superiority of ILM Peeling in the quality of functional results, confirmed by the stabilization of the OCT measured macular thickness, but mostly, as opposed to other...

Read More

Surgery Associated with Intravitreal Anti-VEGF Agents in CRVO. A More Rational Approach?

Central retinal vein occlusion is a multi-factorial event. Like any venous thrombosis, one of the key components in play is stenosis of the vessel. In the eye, this stenosis generally originates from the vein being compressed by a sclerotic artery in a non-expandable space such as the optic nerve at the level of lamina cribrosa. Resection of the lamina cribrosa should therefore result in proper reperfusion of the central retinal vein and...

Read More

ILM Peeling Different Tricks

The author will describe tricks to make the ILM Peeling easier, faster and less traumatic: The use of the ILM blue allows to differentiate the plaque of adherent posterior hyaloid from the “nude” ILM. According to the respective distribution of these two configurations, the peeling can be done differently: If the surface of “nude” ILM is too small, we must start in removing the posterior hyaloid before removing the ILM. If the...

Read More

ILM Peeling Technique

The aim of the surgery is to reduce and stabilize the macular oedema. The surgery has to be atraumatic and complete, with a big rhexis including the whole macular area, to the optic center in nasal, the vascular arcades and the temporal vascular raphe. An uncomplete/only partial removal, particularly in temporal, will induce bad post-operative results, that are the origin of the often heard criticism about the...

Read More

Double Staining and Removal of the ILM Does not Alter Clinical Outcomes of ERM Surgery

Purpose: To assess the clinical outcomes in idiopathic epiretinal membrane(ERM) patients after vitrectomy and ERM removal with or without the double staining technique. Methods: The medical records of 43 patients with idiopathic ERM that had undergone vitrectomy and ERM removal were reviewed. The patients were divided into two groups; triamcinolone assisted simple ERM peeling only (group-A, n=23), and triamcinolone assisted ERM peeling...

Read More

ILM Peeling as Prevention of Morphological Macular Abnormalities After Successful Surgery of Complicated RRD

Advantages: Analysis of the efficacy of ILM peeling at the macula in patients with recurrent RRD or PVR grade C. Methods: 18 patients aged 21 to 66 years with RRD after vitrectomy with perfluoropropane (14 cases) and Oxane HD (4 cases) tamponade. Including 8 people with recurrent retinal detachment (3 patients after scleral buckling and 5 patients after primary vitrectomy) and 10 people with RRD and PVR stage C-1 and higher. In all cases...

Read More

Assessment of Angiographic Findings of Diabetic Patients Who Underwent PPV for ERM or Taut Posterior Hyaloid

Advantages: To analyse the angiographic findings of diabetic patients who underwent pars plana vitrectomy for epimacular membrane or taut posterior hyaloid (TPH). Methods: Patients were grouped according to the presence of taut posterior hyaloid or ERM. Preoperative and postoperative angiographic, optical coherence tomography and visual acuity findings were compared in between groups. Arm to retinal circulation, arteriovenous transit...

Read More

PPV for Treatment of Diffuse Non Tractional DME

Purpose: To evaluate the anatomical and functional results of Pars Plana Vitrectomy (PPV), Intravitreal Triamcinolone (IVT) with or without Internal Limiting Membrane (ILM) peeling in the treatment of diffuse non tractional Diabetic Macular Edema (DME). Methods: A total of 11 eyes (9 patients), those underwent primary vitrectomy with or without ILM peeling, during the past 2 years, were included in this study. Best Corrected Visual...

Read More

A Comparison of Brilliant Blue G, Triamcinolone and Indocyanine Green Dyes to Assist ILM Peeling During Macular Hole Surgery

Purpose: To compare surgical outcomes with three dyes, brilliant blue G (BBG), triamcinolone (TA) and indocyanine green (ICG), used to facilitate internal limiting membrane peeling during macular hole surgery. Methods: This comparative, interventional cases series consisted of 30 eyes of 26 patients with senile idiopathic macular holes, who underwent 23 G vitrectomy with internal limiting membrane peeling. We compared the intraoperative...

Read More

Retinal Nerve Fiber Layer Thickness Modifications After ILM Peeling

Retinal Nerve Fiber Layer Thickness Modifications After ILM Peeling Antonio Ciardella Advantages: To identify retinal nerve fiber layer (RNFL) thickness modifications after internal limiting membrane (ILM) peeling for idiopathic macular hole (MH) and epiretinal membrane (ERM) and to correlate it to visual field (VF) changes and to the postoperative appearance of early transient edematous swelling of the arcuate RNFL (SANFL) and of later...

Read More

Enlarged ILM Peeling in Idiopatic Macular Hole Surgery: A Retrospective Study

Enlarged ILM Peeling in Idiopatic Macular Hole Surgery A Retrospective Study Claudia Bacalhau Objective: To evaluate the morphological and functional success of vitrectomy with enlarged internal limiting membrane peeling for full-thickness macular hole. Method: Retrospective study, including 18 patients with full-thickness macular hole that were submitted to vitrectomy with enlarged peeling of internal limiting membrane (until the...

Read More

The Functional and Anatomical Changes in Patients with Retinal Detachment After TPPV with ILM Peeling

Robert Rejdak, Malgorzata Pietras-Trzpiel, Katarzyna Nowomiejska, Agnieszka Kalinowska, Tomasz Zarnowski, Cesare Forlini, Anselm Junemann (Lublin, Poland) Advantages: The aim of the study was to evaluate visual function of the macula and changes in retinal layers in patients with retinal detachment following TPPV with Brilliant Peel assisted ILM peeling. Methods: The group consisted of 25 patients (12 male and 13 female) with retinal...

Read More

Should we Always Peel ILM in Stages A and B PVR Retinal Detachment?

Slawomir Cisiecki (Lodz, Poland) Advantages: Peeling of the ILM is an extremely effective prophylaxis for postoperative epiretinal membrane formation and is also a well-known part of primary vitrectomy in more advanced stages (beyond Stage B) PVR retinal detachments. However, some surgeons recommend ILM peeling in general as a macular pucker prophylaxis in all stages of PVR in cases of primary vitrectomy even in macula-on retinal...

Read More

Routine ILM Remove in the Treatment of RD with PVR

Cesare Forlini, Matteo Forlini, Adriana Bratu, Paolo Rossini (Ravenna, Italy) Objectives: To investigate the clinical benefit of internal limiting membrane (ILM) peeling at the macula for the prevention and treatment of epiretinal membrane formation in RD cases with PVR. Methods: Patient charts were reviewed retrospectively for 26 eyes of 25 patients (17 male, 9 females) with mean age of 62 years. The patients were consecutively recruited...

Read More

ILM Peeling as a Prophylaxis of Macular Pucker in PVR Retinal Detachment Treatment – Retinectomy with ILM Peeling vs Without ILM Peeling

Dominik Odrobina, Maciej Bednarski, Slawomir Cisiecki, Zofia Michalewska, Jerzy Nawrocki (Lodz, Poland) Advantages: To analyze the effect of internal limiting membrane (ILM) peeling on the anatomical and functional outcomes in patients undergoing retinectomy of 180 degrees to 360 degrees for retinal detachment with Grade D-1 PVR, paying particular role to development of macular pucker. Methods: Consecutive and prospective series of 84...

Read More

Treatment of Macular Edema Secondary to Central Retinal Vein Occlusion: Comparison of Pars Plana Vitrectomy with Internal Limiting Membrane Peeling and Intravitreal Bevacizumab Injection

Hande Etus, Levent Karabas, Yusuf Çaglar (Kocaeli, Turkey) Advantages: To compare anatomic and functional results in patients with macular edema in central retinal vein occlusion (CRVO) treated with pars plana vitrectomy (PPV) with internal limiting membrane (ILM) peeling and intravitreal bevacizumab injection treatment (IVBT). Methods: A total of 29 patients were examined retrospective. PPV with ILM peeling was performed in Group A...

Read More

Eccentric Macular Holes After ILM Peeling for Macular Pucker: Clinical and Functional Findings?

M Nuñez, MP Mendivil, P Blasco, N Urrestarazu, L Ramos (Bilbao, Spain) Advantages: Parafoveal retinal holes after vitrectomy with peeling of the internal limiting membrane are an uncommon finding. The cause of this complication is still unknown. This case report presents a correlation between symptoms and retinal imaging. Case Report: A 50- year-old man with unremarkable medical and familiar history. The patient had been successfully...

Read More

Phaco-vitrectomy with Internal Limiting Membrane Peeling for Full-thickness Macular Holes

Kubilhan Elmas, Özgür Bilen Basaran, Ali Altýnsoy (Ankara, Turkey) We reviewed the records of 17 consecutive patients (17 eyes) who underwent phacoemulsification and 23 gauge pars plana vitrectomy with ILM peeling in one session for repair of macular hole. The mean age of the patients was 66 (range 52 to 78) years. The mean duration of macular holes prior to surgery was 8 months. 12 holes closed, 5 remained opened. All patients except...

Read More

Vitrectomy and Internal Limiting Membrane Peeling with and Without Gas Tamponade for Myopic Foveoschisis

SB Lee, KS Kim, WK Lee (Seoul, South Korea) Advantages: To conduct a comparison of clinical outcomes after vitrectomy and internal limiting membrane (ILM) peeling with and without gas tamponade for treatment of myopic foveoschisis (MF). Methods: In this retrospective, comparative case series, seventeen eyes of seventeen consecutive patients underwent vitrectomy and ILM peeling for treatment of MF. Eyes were divided into two groups, those...

Read More

Congress – Pars Plana Vitrectomy wth ILM Peeling in Macular Hole Surgery

SYMPOSIUM: VITREOMACULAR INTERFACE VISUALIZATION / SURGICAL APPROACH Moderators: Claudio Azzolini, Etienne Bovey Tuesday, June 21, 2005 Pars plana vitrectomy (PPV) with ILM peeling in maculer hole surgery Author: Yaprak Banu Ünver, MD, Nur Acar, MD, Ziya Kapran, MD, Mehmet Cakır, MD, Zerrin Bayraktar, MD, Tugrul Altan, MD, Eylem Y. Pınarcı, MD Abstract : In stage 2, 3 and 4 maculer holes, anatomical and functional success is...

Read More

Pars Plana Vitrectomy with Removal of Internal Limiting Membrane in the Treatment of Diffuse Non Tractional Diabetic Macular Edema

http://www.evrs.eu/medias/2010/congress/Non-Proliferative-Diabetic-Maculopathies.flv Jean-Paul Berrod, P. Genin Perriguey (Nancy, France) Advantages: Photocoagulation is currently the most recommended therapy however, the prognosis after laser treatment for diffuse edema was worse than focal edema. Pars plana vitrectomy with ILM peeling appears to be beneficial in eyes with diffuse non-tractional diabetic macular edema, and its...

Read More

Results of Vitrectomy with Internal Limiting Membrane Peeling in Treatment of Patients with a Diabetic Traction Macular Edema

http://www.evrs.eu/medias/2010/congress/Non-Proliferative-Diabetic-Maculopathies.flv Nikolai N. Umanets, Zoya A. Rozanova (Odessa, Ukraine) Advantages: In cases of unsuccessful treatment of diabetic macular edema by laser or intravitreal injections of antiangiogenic factors or corticosteroids frequently we can find out posterior hyaloid or internal limiting membrane traction. In this connection to patients with a diabetic traction macular...

Read More

Possibility of Hydraulic Device Mehran M.P.1 to Avoid Complication after Vitrectomy with Macula Edema and Retinoschisis in Vitreoretinal Surgery, Management of Membrane Peeling

Mehran Masoudnaseri (Odessa, Ukraine) Advantages: This hydraulic device helps to peel the internal limiting membrane (ILM), very quickly and safely. The surgeon can separate the ILM without any hemorrhage, retinal detachment, retinal tear, or macular trauma. Methods:   Hydraulic devices microsurgery Mehran MP-1, (fig 1) can be used safely for ILM peeling during vitrectomy, and in Neurosurgery, for separating microcists, and...

Read More

Combined Treatment of CME after Branch Retinal Vein Occlusion

http://www.evrs.eu/medias/2010/congress/Branch-Retinal-Vein-Occlusion-Central-Retinal-Vein-Occlusion.flv Ivan Fiser, Martina Rubesova (Prague, Czech Republic) Advantages: In most cases of persisting CME after BRVO we use vitrectomy with ILM peeling which has a good effect in more than 60 % of eyes but. In some patients we start with Avastin that brings a repeated benefit but later recurrences of CME happen. Laser coagulation in edematous...

Read More

Combined Treatment of CME after Central Retinal Vein Occlusion

Ivan Fiser, Martina Rubesova (Prague, Czech Republic) Advantages: CME after CRVO is a typical case where it is very difficult to define which treatment is best to start with. Triamcinolone can be helpful (which was shown in a recent study) but a recurrence can happen. Avastin also has a temporary effect. ILM peeling can be beneficial, too, but we also see recurrences of CME after it. Laser treatment of edematous retina is difficult. We...

Read More

Central Retinal Vein Occlusion / Branch Retinal Vein Occlusion: It is More Brilliant to Peel the ILM

http://www.evrs.eu/medias/2010/congress/Branch-Retinal-Vein-Occlusion-Central-Retinal-Vein-Occlusion.flv Didier Ducournau (Nantes, France) Last year, during the 2009 EVRS congress, we presented the results of ILM removal on 236 patients presented a macular edema after BRVO (82) and CRVO 154); more than one year after operation, the obtained improvement (in LorMAR lines) was superior to 5 lines i.e. twice as much than after repeated...

Read More

ILM Peeling in Branch Retinal Vein Occlusion & Central Retinal Vein Occlusion

http://www.evrs.eu/medias/2010/congress/Branch-Retinal-Vein-Occlusion-Central-Retinal-Vein-Occlusion.flv Jean-Paul Amar (Cannes, France) The author made a study on 130 cases over 3 years. The results confirmed those presented last year by Didier Ducournau. The removal of the ILM demonstrates a long-term improvement of visual acuity and a nearly total disappearance of neovascular glaucoma. The importance of the improvement is higher than the...

Read More

Vitrectomy with ILM Peeling in Persistent Diabetic Macular Edema

http://www.evrs.eu/medias/2010/videos/AshrafRadwan_VP6_768K.flv Ashraf Radwan, Ahmed Ibrahim (Jeddah, Saudi Arabia) Advantages: Vitrectomy with internal limiting membrane peeling edema help in improvement of persistent diabetic macular and improvement of visual acuity. Methods: Pars plana vitrectomy (20 Gauge) with removal of posterior hyaloid then injection of Brilliant Peel dye then ILM peeling. Effectiveness / Safety: Vitrectomy with...

Read More

Vitrectomy with ILM Peeling for Retinoschisis with Outer Retinal Break

http://www.evrs.eu/medias/2010/videos/AdityaKelkar_VP6_768K.flv Aditya Kelkar, Chirag Bhatt, Jai Kelkar, S. B. Kelkar, Shilpa Bhirud (Pune, India) Advantages: Laser treatment in case of optic pit with retinoschisis is often unsatisfactory and leads to scotoma. Vitrectomy with ILM peeling relieves the traction and helps to close even the outer retinal break. Methods: A 65-year-old male with history of reduced vision and distortion was...

Read More

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!!!)...

Read More

Pars Plana Vitrectomy and Epiretinal Membrane Peeling in Cases of Vitreous Hemorrhage with Tractional Retinal Detachment

http://www.evrs.eu/medias/2010/videos/MohamedElDeeb_1_VP6_768K.flv Mohamed El-Deeb (Cairo, Egypt) Advantages: This video shows the classic surgical steps for management of cases of diabetic vitreous hemorrhage with tractional retinal detachment. If the surgeon masters these steps, he will achieve very satisfactory surgical results. Methods: This video shows the classic surgical steps for management of vitreous hemorrhage with tractional...

Read More

Triamcinolone Acetonide-Assisted ILM Peeling in a Case of Myopic Macular Retinal Detachment

http://www.evrs.eu/medias/2010/videos/MohamedElDeeb_2_VP6_768K.flv Mohamed El-Deeb (Cairo, Egypt) Advantages: A lot of dyes are used to help ILM peeling. All of them carry the risk of retinal toxicity. This video shows that triamcinolone acetonide (which is very safe) can be used effectively as an alternative tool to the commonly used dyes. Methods: After doing core vitrectomy, non-preserved triamcinolone acetonide is injected in the...

Read More

Vitrectomy with ILM Peeling vs without ILM Peeling for Proliferative Diabetic Retinopathy

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Dominik Odrobina, Sławomir Cisiecki, Krzysztof Dzięgielewski, Zbigniew Pikulski, Janusz Michalewski, Zofia Michalewska, Jerzy Nawrocki (Lodz, Poland) Advantages: To analyze the effect of internal limiting membrane (ILM) peeling on the anatomical and functional outcomes in patients undergoing vitrectomy for proliferative diabetic retinopathy with vitreous...

Read More

ILM Peeling in Retinal Detachment

Author: Anselm Jünemann, Erlangen, Germany Problem: Epiretinal membrane formation occurs in 15% to 20% of eyes after successful vitreous surgery for retinal detachment that is complicated by proliferative vitreoretinopathy (PVR). Epiretinal membranes limit the functional outcome and usually require additional surgical intervention. Approach: The aim is the prevention of epiretinal membrane formation by ILM peeling during primary...

Read More

Treating Stage 1 Macular Hole without Surgery by Injecting Microplasmin

http://www.evrs.eu/medias/2009/congress/Is-ILM-Peeling-Mandatory.flv Author: Peter Stalmans, Meive, Belgium Advantages: Vitrectomy for vitreomacular traction/early stage macular holes has inherent disadvantages and risks, and induces increased patient morbidity. Methods: A phase II randomized, double-masked clinical trial with control sham injection in patients with vitreomacular traction was designed. Patients in each of four cohorts...

Read More

ILM Peeling in Stage 1 Macular Hole

http://www.evrs.eu/medias/2009/congress/Is-ILM-Peeling-Mandatory.flv Author: Didier Ducournau, Nantes, France I have been systematically removing the ILM for epiretinal membrane since 1987. So, when stage 1 macular hole surgery started, I naturally did the same thing for this kind of surgery too. The disappointing De Bustros study conclusions confused me since his results were completely different from mine. I then decided to carry on using...

Read More

Factors Determining Postoperative Results after Surgery for Lamellar Macular Hole

http://www.evrs.eu/medias/2009/congress/Is-ILM-Peeling-Mandatory.flv Author: Zofia Michalewska, Lodz, Poland Advantages: Surgery for lamellar macular hole enables visual acuity improvement in most cases. Additionally, Spectral OCT facilitates determining factors influencing postoperative outcome after vitrectomy. Methods: 20 eyes of 20 subjects with lamellar macular hole were included into the study. Spectral OCT examination was performed...

Read More

Surgical Treatment of Lamellar Macular Holes

http://www.evrs.eu/medias/2009/congress/Is-ILM-Peeling-Mandatory.flv Authors: Etienne H. Bovey, H. Casparis, Lausanne, Switzerland Advantages: Vitrectomy and gas tamponade for macular lamellar holes improve the visual acuity. Methods: Retrospective study of 37 lamellar macular holes operated on between 2000 and 2008. The following parameters were studied: age, gender, preoperative visual acuity and hole diameter, attachment of the...

Read More

Internal Limiting Membrane Peeling Should Be Performed in All Cases of Full Thickness Macular Holes

http://www.evrs.eu/medias/2009/congress/Is-ILM-Peeling-Mandatory.flv Authors: Ulrik C. Christensen, Kristian Krøyer, Birgit Sander, Michael Larsen, Henning, Jørgen Villumsen, Morten La Cour, Glostrup, Denmark Advantages: Surgery for macular hole with 0.05 % isotonic indocyanine green (ICG)-assisted internal limiting membrane (ILM) peeling results in a better anatomic outcome than vitrectomy alone without significantly reducing the...

Read More

Analysis of Failures in Macular Hole Surgery

http://www.evrs.eu/medias/2009/congress/Is-ILM-Peeling-Mandatory.flv Authors: Vincenzo Ferrara, Vito Belloli, Arona, Italy Advantages: Latest advances in macular hole surgery techniques have greatly contributed to the successful postoperative anatomic and functional results achieved by this surgery. Methods: A major part of this success may be attributed to a safer and more complete removal of the tangential tractions given by posterior...

Read More

ILM Peeling for Management of Idiopathic Epimacular Membranes

http://www.evrs.eu/medias/2009/congress/Is-ILM-Peeling-Mandatory.flv Author: Hassan Mortada, Cairo, Egypt Advantages: Systematic ILM peeling in eyes with idiopathic epimacular membranes ensure complete removal of epiretinal membrane, thus ensure complete relief of tangential traction with subsequent better restoration of the normal macular contour and better visual results. It also reduces the incidence of recurrence of epimacular...

Read More

ILM Peeling as a Prophylaxis for Epiretinal Membrane Formation

http://www.evrs.eu/medias/2009/congress/Is-ILM-Peeling-Mandatory.flv Authors: Jerzy Nawrocki, Dominik Odrobina, Janusz Michalewski, Lodz, Poland Advantages: The purpose of the presentation is to present the rationale of ILM peeling for prevention of macular pucker. Macular pucker surgery is well known since many years however, according to our current knowledge epiretinal membrane formation is not only epiretinal disease but also...

Read More

Our Way in Surgery of Epiretinal Membranes

http://www.evrs.eu/medias/2009/congress/Is-ILM-Peeling-Mandatory.flv Authors: Petr Kolar, Drahomira Vizdova, Brno, Czech Republic Advantages: Epiretinal membrane (EM) surgery is the most developing part of vitreoretinal surgery. Advantage of our method is complete removal of epiretinal membranes and internal limiting membrane (ILM). Removing of ILM is thought to prevent membrane recurrences. Methods: We perform standard 20-G vitrectomy...

Read More

“Brilliant Blue G” Stain for ILM Peeling

Authors: Vadim S. Stebnev, Sergey D. Stebnev, Samara, Russia Advantages / Purpose: To study the efficiency and features of application of  «Brilliant Blue G» for staining of the internal limited membrane during its peeling. Methods: The results of internal limited membrane staining with «Brilliant Blue G» for its peeling are analyzed. In total with the use of the new stain 5 patients with various vitreoretinal pathology were...

Read More

ILM-Peeling for Pucker Prophylaxis

http://www.evrs.eu/medias/2008/congress/ILM-Peeling-for-Pucker-Prophylaxis.flv Klaus Lucke, Silvia Bopp (Augenklinik Universitätsallee, Bremen, Germany) Advantages: The incidence of pucker formation after retinal detachment surgery has been reported at between 4% and 25%. When it occurs it frequently is a functionally devastating event. Since rhegmatogenous detachment in our hands is treated by vitrectomy without buckling in most cases we...

Read More

Vitectomy and Removal of the Internal Limiting Membrance in the Treatment of Diabetic Macular Edema

Jan Kalvoda, Bohdana Kalvodová (Department of Ophthalmology, Charles University, Prague, Czech Republic), Jaroslava Dušková (Institut of Pathology, Charles University, Prague, Czech Republic) Advantages: To evaluate the efficiency of vitrectomy with peeling of the internal limiting membrane (ILM) in eyes with chronic diffuse and/or cystoid diabetic macular edema (DME) and to perform histopathologic and morphometric analysis of the ILM....

Read More

ILM as an Adjuvant for Stage IV Macular Hole Surgery

http://www.evrs.eu/medias/2008/congress/ILM-as-an-Adjuvant-for-Stage-IV-Macular-Hole-Surgery.flv Jerzy Nawrocki, Zofia Michalewska, Zofia Nawrocka, Janusz Michalewski Advantages: The aim of this presentation is to demonstrate a new technique in macular hole surgery in cases of large stage IV macular holes. Leaving a 1-2mm remnant of ILM on the surface of the macular hole improves visual and anatomic outcomes in patients with stage IV...

Read More

Use of Delicate Maculorhexis During Macular Hole Surgery

http://www.evrs.eu/medias/2008/congress/Use-of-Delicate-Maculorhexis-During-Macular-Hole-Surgery.flv Shkvorchenko D.O., Sharafetdinov I.H.*, Kachalina G.F., Pedanova E.K., Belikova S.V. Advantages: We elaborated the modification of maculorhexis to decrease surgical trauma. It consists of the removal of ILM around the macular hole, except the sector of preferred retinal locus (PRL). Preoperative microperimetry (fundus-related perimetry)...

Read More

Surgical Treatment of Lamellar Macular Hole

http://www.evrs.eu/medias/2008/congress/Surgical-Treatment-of-Lameller-Macular-Hole.flv Barbara Parolini, Grazia Pertile Advantages: Lamellar macular holes may be operated on with restoration of vision and foveal anatomy. Our study presents the results in 30 cases. Also a new hypothesis of lamellar hole formation supported by histological analysis will be presented. Pars plana vitrectomy, internal limiting membrane peeling and air...

Read More

Anatomic and Functional Results in Macular Hole Surgery

Miguel Angel Quiroz-Reyes, MD (Mexico City, Mexico), Carmen Lizana, MD (Mexico, City, Mexico) PURPOSE: Is the limitorrhrexis an efective and secure technique to improve the anatomic and functional outcomes in idiopathic macular hole patients? METHODS: Retrospective study of patients with stage 2 to 4 idiopathic macular hole who underwent vitrectomy with and without dye-assited limitorhexis between the year 2000 to 2005. RESULTS: Fifty nine...

Read More

Idiopathic Macular Holes Following Pars Plana Vitrectomy for Retinal Detachment

http://www.evrs.eu/medias/2006/congress/Idiopathic-Macular-Holes-Following-Pars-Plana-Vitrectomy-for-Retinal-Detachment.swf http://www.evrs.eu/medias/2006/congress/Idiopathic-Macular-Holes-Following-Pars-Plana-Vitrectomy-for-Retinal-Detachment-1.flv http://www.evrs.eu/medias/2006/congress/Idiopathic-Macular-Holes-Following-Pars-Plana-Vitrectomy-for-Retinal-Detachment-2.flv Francesco Boscia, MD (Bari, Italy), Homayoun Tabandeh, MD...

Read More

Arcuate Retinotomy for Large, Failed Macular Holes

Steve T. Charles, MD (Memphis, TN)* SYNOPSIS An initial procedure using 25G PPV, ILM peeling and C3F8 gas failed. A 25G second procedure is the subject of the video. An arcuate retinotomy was made temporal to the macula using 25G Revolution DSP scissors.

Read More

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)....

Read More

ILM Peeling Prevents Late Reopening of Closed Macular Holes

http://www.evrs.eu/medias/2006/congress/ILM-Peeling-Prevents-Late-Reopening-of-Closed-Macular-Holes.swf http://www.evrs.eu/medias/2006/congress/ILM-Peeling-Prevents-Late-Reopening-of-Closed-Macular-Holes.flv Thierry C. Verstraeten, MD (Pittsburgh, PA) PURPOSE: Does the persistence of ILM on the retinal surface after vitrectomy with successful closure of macular holes lead to recurrent tangential traction and reopening of holes either...

Read More

Combined 25g Vitrectomy + Sheathatomy + ILM Peeling + Phacoemulsification + IOL Implantation for the Treatment ofBranch Retinal Vein Occlusion

Murat Oncel, MD (Istanbul, Turkey) SYNOPSIS This film demonstrates the use of the transcon-junctival sutureless 25-gauge vitrectomy system combining with clear corneal phacoemulsification and posterior chamber intraocular lens implantation. Sheathotomy was performed either using a special knife or nitinol flexiable extandible pick with trypan blue-assisted peeling of the internal limiting membrane in branch retinal vein occlusion. Pre- and...

Read More

25-gauge Vitrectomy (from the Outside…)

Luiz Eduardo de Aguiar Marques, MD (Irvine, CA), Faisal Jehan, MD (Irvine, CA), Bogdan Alexandrescu, MD (Irvine, CA), Baruch D. Kuppermann, MD, PhD (Irvine, CA)* SYNOPSIS We show 25-gauge surgeries with an emphasis on external aspects and our technique of tunnelled incisions. We also demonstrate situations that may occur during surgery (cannulas coming out, suturing…). Internal limiting peeling in a diabetic patient, aqueous...

Read More

Surgical Treatment of Macular Pucker: Multicenter Clinical Trial

Claudio Azzolini, (Segrate, Italy), Simone Donati, MD (Varese, Italy) PURPOSE: The aim of this multicentric, prospective, randomized study was to evaluate the efficacy of the inner limiting membrane removal and the indocyanine green staining on the outcomes of the surgical treatment of macular pucker. METHODS: 208 eyes in 208 patients with idiopathic macular pucker in selected italian centers were randomized and included in three groups as...

Read More

Preservative Free Triamcinolone Acetonide (PFTA) as an Adjuvant in Vitreoretinal Surgery

http://www.evrs.eu/medias/2006/videos/Preservative-Free-Triamcinolone-Acetonide-(PFTA)-as-an-Adjuvant-in-Vitreoretinal-Surgery.flv Arturo Santos, MD, PhD (Guadalajara, Mexico), Enrique A. Roig-Melo, MD PhD (Guadalajara, Mexico), Miguel Castellanos, MD (Guadalajara, Mexico), Ramon Flores- Fuentes, MD (Guadalajara, Mexico), Monica A. Ayala-Fernandez, MD (Guadalajara, Mexico), Iban Flores, MD (Guadalajara, Mexico) SYNOPSIS Many strategies have...

Read More

ILM Peeling with the Use of Trypan Blue in Different Indications

http://www.evrs.eu/medias/2006/videos/ILM-Peeling-with-the-Use-of-Trypan-Blue-in-Different-Indications.flv Zofia Nawrocka, MD (Lodz, Poland), Jerzy Nawrocki, MD, PhD (Lodz, Poland), JanuszMichalewski, MD (Lodz, Poland), Zofia  Michalewska, MD (Lodz, Poland) SYNOPSIS Simple method of staining with trypan blue is presented. After closing of infusion line small amount of trypan blue is slowly injected over the macula. This allows putting the...

Read More

Colorants in Vitreo-retinal Surgery “United Colours of Vitrectomy”

http://www.evrs.eu/medias/2006/videos/Colorants-in-Vitreo-retinal-Surgery-United-Colours-of-Vitrectomy.flv Giuseppe Giunchiglia, MD (Palermo, Italy), Cesare Forlini, MD (Ravenna, Italy), Benedetto Scarpulla, MD (Palermo, Italy), Francesco la Barbera, MD (Palermo, Italy) SYNOPSIS This video shows the use of colorants during the various stages of vitreo-retinal surgery. An endovitreal injection of Triamcinolone Acetonide and/or of Tripan Blue...

Read More

Use of Trypan Blue Dye in Removal of Internal Limiting Membrane (ILM)

http://www.evrs.eu/medias/2006/videos/Use-of-Trypan-Blue-Dye-in-Removal-of-Internal-Limiting-%20Membrane-(ILM).flv Alay S. Banker, MD (Ahmedabad, India), Marisa Flores-Aguilar, MD (Tijuana, Mexico) SYNOPSIS The video demonstrates the efficacy of (0.2%) trypan blue dye for staining internal limiting membrane (ILM) in eyes undergoing vitrectomy for macular hole, vitreomacular traction syndrome and diabetic retinopathy. Trypan blue resulted in...

Read More

Radial Optic Neurotomy Plus Intravitreal Triamcinolone with and without Internal Limiting Membrane Peeling for Central Retinal Vein Occlusion

Jose Garcia-Arumi, MD (Barcelona, Spain), Miguel Angel Zapata, MD (Barcelona, Spain), Anna Boixadera, MD (Barcelona, Spain), Alejandro Fonollosa, MD (Barcelona, Spain), Jorge Prieto, MD (Barcelona, Spain), Vicente Martinez-Castillo, MD (Barcelona, Spain) PURPOSE: RON has been proposed to relieve the pressure exerted by scleral ring in CRVO. Vitrectomy, intravitreal triamcinolone and ILM peeling seem to be effective for treating macular...

Read More

Clinical Outcome after Vitrectomy with or without Internal Limiting Membrane Peeling in Proliferative Diabetic Vitreoretinopathy Patients with Macular Edema

L. O. Hattenbach, P. N. Jentzmik, J. Puchta, Y. Sinangin, F. Koch – Klinik für Augenheilkunde, Netzhaut- und Glaskörperchirurgie, Klinikum der Johann Wolfgang Goethe Universität, Frankfurt am Main, Germany Purpose: To investigate visual recovery and clinical outcome after pars plana vitrectomy with or without internal limiting membrane (ILM) peeling in patients with macular edema associated with proliferative diabetic vitreoretinopathy...

Read More

Does Using Intravitreal Triamcinolone Acetonide During ILM Peeling Affect the Outcome of Macular Hole Surgery?

http://www.evrs.eu/medias/2005/congress/Does-Using-Intravitreal-Triamcinolone-Acetonide-During-ILM-Peeling-Affect-the-Outcome-of-Macular-Hole-Surgery.swf Murat Karacorlu, Hakan Ozdemir, Serra Arf Karacorlu Purpose: To evaluate functional and anatomical outcome of triamcinolone acetonide assisted internal limiting membrane (ILM) peeling in patients with macular hole. Methods: Fifteen eye of 15 consecutive patients were identified with stage...

Read More

ILM Removal in Idiopathic Macular Hole Surgery versus Myopic Macular Hole Surgery; Differences in Technique and Results

Khaled El-Rakhawy, MD Background: Myopic macular holes are different from idiopathic macular holes in their epidemiological characteristics, clinical presentation, surgical objectives and outcome. Some of the still ongoing controversies in the management of both conditions include the role of ILM removal as well as the technique used to achieve this, whether with or without staining. Methods: In vitrectomy for idiopathic macular holes,...

Read More
content top