Removal of the internal limiting membrane under perfluorocarbon liquid to treat macular-hole-associated retinal detachment.
OBJECTIVE
To demonstrate the advantages and efficacy of internal limiting membrane removal under perfluorocarbon liquid in macular-hole-associated retinal detachment.


METHODS
Interventional case series.


METHODS
Four patients with macular-hole-associated retinal detachment underwent pars plana vitrectomy, retinal reattachment with endodrainage through the macular hole, perfluoro-n-octane injection to seal the macular hole, indocyanine green injection under the perfluoro-n-octane bubble and removal of the indocyanine green-stained internal limiting membrane. Visual acuity and anatomic results were recorded, with a mean follow-up period of 18 months.


RESULTS
Postoperatively, the retina was reattached in all four patients and closure of the macular hole was achieved in three eyes. Visual acuity improved in all eyes.


CONCLUSIONS
In retinal detachment resulting from macular hole, staining of the internal limiting membrane with indocyanine green injected under perfluoro-n-octane can facilitate peeling of the membrane without exertion of excessive retinal traction and may prevent passage of indocyanine green into the subretinal space.
Brazitikos
Periklis D
PD
Department of Ophthalmology, Aristotle University of Thessaloniki, Thessaloniki, Greece. pbrazitikos@hotmail.com
Androudi
Sofia
S
Dimitrakos
Stavros A
SA
Stangos
Nikolaos T
NT
D000368:Aged; D004322:Drainage / Q000379:methods; D019773:Epiretinal Membrane / Q000473:pathology / Q000601:surgery*; D005260:Female; D005466:Fluorocarbons / Q000627:therapeutic use*; D006801:Humans; D007208:Indocyanine Green; D007267:Injections; D008297:Male; D008875:Middle Aged; D016684:Prone Position; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery*; D012167:Retinal Perforations / Q000150:complications / Q000601:surgery*; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*
D005466:Fluorocarbons; C073608:perfluorooctane; D007208:Indocyanine Green