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Anatomic and visual outcomes after indocyanine green-assisted peeling of the retinal internal limiting membrane in idiopathic macular hole surgery.
Am J Ophthalmol. 2004 Apr; 137(4):609-14.AJ

Abstract

PURPOSE

To report anatomic and visual outcomes after vitrectomy and adjunctive retinal internal limiting membrane (ILM) peeling with and without intravitreal indocyanine green for idiopathic macular hole repair.

DESIGN

Retrospective comparative study of consecutive case series.

METHODS

Three consecutive groups of idiopathic macular hole cases underwent modifications of surgical technique. Group I (48 eyes of 47 patients) underwent a standard vitrectomy, fluid/gas exchange, and 1 week's face-down positioning, group II (21 eyes of 21 patients) an adjunctive ILM peeling without use of indocyanine green, and group III (28 eyes of 28 patients) an adjunctive peeling of ILM stained with intravitreal application of 0.1 to 0.2 ml of 0.5% indocyanine green dye.

RESULTS

Three groups of patients had comparable clinical characteristics as to age, gender, estimated duration of macular hole, preoperative visual acuity, and follow-up time. The rate of macular hole closure after a single surgery, as determined by optical coherence topography was 85.4% in group I, 85.7% in group II, and 100% in group III. Groups I and II showed a statistically significant visual improvement, but group III did not show significant visual acuity improvement as the mean logarithm of the minimal angle of resolution visual acuity was from 0.767 (20/120) preoperatively to 0.691 (20/100) postoperatively (P =.342). Eight cases in group III developed within a few postoperative months of optic disk pallor and irreversible peripheral visual field loss, predominantly affecting the nasal field.

CONCLUSIONS

Intravitreal indocyanine green-assisted ILM peeling improves anatomic success in macular hole surgery, but it may potentially lead to unfavorable visual acuity outcome and peripheral visual field loss.

Authors+Show Affiliations

Eye Care Nagoya, Nakamura-key, Nagoya, Japan. f.andou@eyecare-nagoya.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

15059697

Citation

Ando, Fumitaka, et al. "Anatomic and Visual Outcomes After Indocyanine Green-assisted Peeling of the Retinal Internal Limiting Membrane in Idiopathic Macular Hole Surgery." American Journal of Ophthalmology, vol. 137, no. 4, 2004, pp. 609-14.
Ando F, Sasano K, Ohba N, et al. Anatomic and visual outcomes after indocyanine green-assisted peeling of the retinal internal limiting membrane in idiopathic macular hole surgery. Am J Ophthalmol. 2004;137(4):609-14.
Ando, F., Sasano, K., Ohba, N., Hirose, H., & Yasui, O. (2004). Anatomic and visual outcomes after indocyanine green-assisted peeling of the retinal internal limiting membrane in idiopathic macular hole surgery. American Journal of Ophthalmology, 137(4), 609-14.
Ando F, et al. Anatomic and Visual Outcomes After Indocyanine Green-assisted Peeling of the Retinal Internal Limiting Membrane in Idiopathic Macular Hole Surgery. Am J Ophthalmol. 2004;137(4):609-14. PubMed PMID: 15059697.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anatomic and visual outcomes after indocyanine green-assisted peeling of the retinal internal limiting membrane in idiopathic macular hole surgery. AU - Ando,Fumitaka, AU - Sasano,Kumiko, AU - Ohba,Norio, AU - Hirose,Hiroshi, AU - Yasui,Osamu, PY - 2003/08/20/accepted PY - 2004/4/3/pubmed PY - 2004/4/28/medline PY - 2004/4/3/entrez SP - 609 EP - 14 JF - American journal of ophthalmology JO - Am J Ophthalmol VL - 137 IS - 4 N2 - PURPOSE: To report anatomic and visual outcomes after vitrectomy and adjunctive retinal internal limiting membrane (ILM) peeling with and without intravitreal indocyanine green for idiopathic macular hole repair. DESIGN: Retrospective comparative study of consecutive case series. METHODS: Three consecutive groups of idiopathic macular hole cases underwent modifications of surgical technique. Group I (48 eyes of 47 patients) underwent a standard vitrectomy, fluid/gas exchange, and 1 week's face-down positioning, group II (21 eyes of 21 patients) an adjunctive ILM peeling without use of indocyanine green, and group III (28 eyes of 28 patients) an adjunctive peeling of ILM stained with intravitreal application of 0.1 to 0.2 ml of 0.5% indocyanine green dye. RESULTS: Three groups of patients had comparable clinical characteristics as to age, gender, estimated duration of macular hole, preoperative visual acuity, and follow-up time. The rate of macular hole closure after a single surgery, as determined by optical coherence topography was 85.4% in group I, 85.7% in group II, and 100% in group III. Groups I and II showed a statistically significant visual improvement, but group III did not show significant visual acuity improvement as the mean logarithm of the minimal angle of resolution visual acuity was from 0.767 (20/120) preoperatively to 0.691 (20/100) postoperatively (P =.342). Eight cases in group III developed within a few postoperative months of optic disk pallor and irreversible peripheral visual field loss, predominantly affecting the nasal field. CONCLUSIONS: Intravitreal indocyanine green-assisted ILM peeling improves anatomic success in macular hole surgery, but it may potentially lead to unfavorable visual acuity outcome and peripheral visual field loss. SN - 0002-9394 UR - https://www.unboundmedicine.com/medline/citation/15059697/Anatomic_and_visual_outcomes_after_indocyanine_green_assisted_peeling_of_the_retinal_internal_limiting_membrane_in_idiopathic_macular_hole_surgery_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002939403010018 DB - PRIME DP - Unbound Medicine ER -