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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...

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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...

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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...

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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...

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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...

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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...

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