title: Triamcinolone acetonide-assisted peeling of the internal limiting membrane.
abstract: OBJECTIVE
  We report on a new technique to peel the internal limiting membrane (ILM) using triamcinolone acetonide (TA) to facilitate visualization during surgery.
  
  
  METHODS
  Interventional case series.
  
  
  METHODS
  In four eyes of four patients with macular hole, TA was used during vitrectomy to visualize the hyaloid. After the posterior hyaloid was surgically separated from the optic nerve head and posterior retina, TA suspension was injected over the posterior pole. Intraocular forceps was used to peel the ILM in a circumferential manner around the macular hole.
  
  
  RESULTS
  Numerous particles of TA were dispersed over the posterior retina as white specks. Once the ILM was peeled, the peeled area was clearly visualized as an area lacking the white specks. In all patients, the macular holes closed. No adverse reactions were observed during the 3-month follow-up period.
  
  
  CONCLUSIONS
  TA-assisted ILM peeling is an effective and safe technique for macular hole surgery.
authors.affiliation: Nagata Eye Clinic, Nara-City, Japan. hkimura@pearl.ocn.ne.jp
authors.forename: Hideya
authors.initials: H
authors.lastname: Kimura
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Kuroda
authors.forename: Makoto
authors.initials: M
authors.lastname: Nagata
mesh_terms: D001485:Basement Membrane / Q000473:pathology / Q000601:surgery; D005938:Glucocorticoids / Q000008:administration & dosage*; D006801:Humans; D007267:Injections; D012167:Retinal Perforations / Q000601:surgery*; D014222:Triamcinolone Acetonide / Q000008:administration & dosage*; D014821:Vitrectomy / Q000379:methods*; D014822:Vitreous Body / Q000473:pathology
chemical_list: D005938:Glucocorticoids; D014222:Triamcinolone Acetonide