Cesare Forlini, Matteo Forlini, Adriana Bratu, Paolo Rossini (Ravenna, Italy)


To investigate the importance of the dyes for the prevention and treatment of PVR


Patient charts were reviewed retrospectively for 25 eyes of 25 patients (15 male, 10 females) with mean age of 60 years consecutively recruited patients who underwent primary or secondary vitrectomy with ERM peeling. All our patients presented rhegmatogenous/tractional retinal detachment with PVR. Macular detachment was present in 16 out of the included 25 eyes. Vitreal S (triamcinolone acetonide ophthalmic suspension 4%, OO Group, Italy) was injected in all patients; Membrane Blue (0,015%, Dorc) was used in 18 patients and Dual Blue (Dorc) was used in 7 patients. In the first place the steroid was used; in the second place the dye was used. Silicone oil (Densiron) was used in 19 cases; silicone 1000cs was used in 6 cases. After mean follow up time of 1 year, no patients showed ERM in the macular area; 3 cases developed epiretinal membrane in the peripheral retina, 7 cases developed cystoid macular oedema, 3 cases had photoreceptor atrophy.


Our study demonstrates that utilization of the dyes during vitrectomy with silicone oil tamponade for the treatment of retinal detachment with PVR may prevent or treat the formation of new PVR.