scholarly journals Vital Dyes in Vitreoretinal Surgery

It is essential to visualize posterior hyaloid, epiretinal proliferation, and internal limiting membrane during vitreoretinal surgery especially in surgeries for vitreoretinal interface diseases. Even though indirect signs and reflections may help their identification, these signs are not as reliable and effective as direct visualization of these structures in preventing traumatic surgery. Dyes that are used to stain living tissues are called vital dyes. Vitreoretinal surgery using these dyes is called chromovitrectomy. Diagnosis of vitreoretinal interface diseases was diversified, indications were widened and the number of patients was increased over the last fifteen years with the widespread use of optical coherence tomography. Vital dyes became a sine qua non in today's vitreoretinal surgeries for vitreoretinal interface diseases. This article discusses the properties and the place of widely used dyes such as triamcinolone, trypan blue, brilliant blue G, and indocyanine green.

Author(s):  
Renato Menezes Palácios ◽  
Kim Vieira Kayat ◽  
Michel Eid Farah ◽  
François Devin

Purpose: To describe the surgical approach with a screen-based heads-up, threedimensional (3-D) digital viewing with intraoperative optical coherence tomography (IOCT) for the successful repair of a myopic macular schisis (MMS) case. Case Report: A 62-year-old woman with vision loss in the left eye was scheduled for pars plana vitrectomy (PPV) and MMS repair. Surgery was performed using the NGENUITY® system for surgical viewing, and foveal-sparing internal limiting membrane (fs-ILM) peeling was performed without gas tamponade, after confirming the absence of iatrogenic macular hole with I-OCT. There were no intraoperative or postoperative complications. Visual acuity improved to 20/40 and the subfoveal macular thickness improved from 706 μm (preoperative) to 221 μm after seven months of follow-up. Conclusion: Heads-up digitally assisted viewing technology with I-OCT may be useful or preferred for patients requiring vitreoretinal surgery in the setting of MMS.


2021 ◽  
pp. 112067212110237
Author(s):  
Ilkay Kilic Muftuoglu ◽  
Ecem Onder Tokuc ◽  
V Levent Karabas

Purpose: To report outcomes of pars plana vitrectomy (PPV) combined with internal limiting membrane (ILM) stuffing technique in patients with optic disc pit associated maculopathy (ODP-M). Methods: Data including best-corrected visual acuity (BCVA), central macular thickness (CMT), foveal center point thickness (FCP), and maximum height of fluid (max_fluid) (intraretinal or subretinal) were collected from the medical records of the patients. Results: Six eyes of six patients with a mean age of 28.0 ± 17.68 years (range: 9–53 year) underwent PPV + ILM plug surgery. The mean follow-up duration was 25.62 ± 26.11 months (range: 11.80–78.00 month) duration. The mean BCVA increased from 1.25 ± 1.04 logMAR (20/355, Snellen equivalent) to 0.86 ± 1.09 logMAR (20/144, Snellen equivalent) at last follow-up ( p = 0.043). Compared to baseline, CMT, FCP, and max_fluid significantly decreased at all visits after the surgery ( p < 0.05 for all visits). At last follow-up, 66.6% of the eyes (four eyes) showed complete resolution of fluid at a mean of 5.25 ± 4.99 months (range: 1–12 months) after the surgery. Conclusion: PPV with ILM plug seemed to be an effective surgical technique in ODP-M. Studies with longer follow-up and higher number of patients are needed to confirm our results.


2015 ◽  
Vol 133 (1) ◽  
pp. 85 ◽  
Author(s):  
Felipe P. P. Almeida ◽  
Ana Claudia De Lucca ◽  
Ingrid Ursula Scott ◽  
Rodrigo Jorge ◽  
Andre Messias

2012 ◽  
Vol 153 (4) ◽  
pp. 705-709 ◽  
Author(s):  
Domagoj Ivastinovic ◽  
Christoph Schwab ◽  
Andreas Borkenstein ◽  
Eva-Maria Lackner ◽  
Andreas Wedrich ◽  
...  

Ophthalmology ◽  
2004 ◽  
Vol 111 (8) ◽  
pp. 1622-1623 ◽  
Author(s):  
Gema Rebolleda ◽  
Francisco José Muñoz Negrete ◽  
Marta Suarez-Figueroa

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