To determine the long- term efficacy of indocyanine green (ICG)- assisted retinal internal limiting membrane (ILM) peeling during macular hole repair. Retrospective, interventional, noncomparative case series. One hun...To determine the long- term efficacy of indocyanine green (ICG)- assisted retinal internal limiting membrane (ILM) peeling during macular hole repair. Retrospective, interventional, noncomparative case series. One hundred twenty- one eyes of 114 patients with stage 2, 3, or 4 idiopathic macular holes that underwent ICG- assisted macular hole repair during the period of August 1999 to January 2003. All eyes underwent a pars plana vitrectomy, including peeling of the posterior cortical hyaloid when necessary. Indocyanine green dye (0.5% ) was instilled over the macula, and after removal of the ICG, the retinal ILM was peeled. Medium- to long- acting gas tamponade was used in all cases, and all patients were asked to position themselves facedown for 1 to 2 weeks. Long- term postoperative anatomic results, visual acuity (VA), and complications. Patients were observed postoperatively for an average of 26 months (range, 12- 53). Anatomic closure of the macular hole was achieved in 118 eyes (98% ) with a single surgery. Reoperation was successful at closing 2 of the 3 macular holes that did not close initially. One macular hole reopened 16 months after the original surgery, and the patient has not yet undergone further surgery. Visual acuity improved by< 2 lines in 116 eyes (96% ). Mean visual improvement after surgery was 6 lines (range, 0- 14), and 96 eyes (79% ) achieved a final VA of 20/50 or better. There were no intraoperative or postoperative complications attributed to the use of ICG. Long- term follow- up of patients who underwent ICG- assisted ILM peeling for idiopathic macular hole repair demonstrates excellent anatomic and visual results.展开更多
文摘To determine the long- term efficacy of indocyanine green (ICG)- assisted retinal internal limiting membrane (ILM) peeling during macular hole repair. Retrospective, interventional, noncomparative case series. One hundred twenty- one eyes of 114 patients with stage 2, 3, or 4 idiopathic macular holes that underwent ICG- assisted macular hole repair during the period of August 1999 to January 2003. All eyes underwent a pars plana vitrectomy, including peeling of the posterior cortical hyaloid when necessary. Indocyanine green dye (0.5% ) was instilled over the macula, and after removal of the ICG, the retinal ILM was peeled. Medium- to long- acting gas tamponade was used in all cases, and all patients were asked to position themselves facedown for 1 to 2 weeks. Long- term postoperative anatomic results, visual acuity (VA), and complications. Patients were observed postoperatively for an average of 26 months (range, 12- 53). Anatomic closure of the macular hole was achieved in 118 eyes (98% ) with a single surgery. Reoperation was successful at closing 2 of the 3 macular holes that did not close initially. One macular hole reopened 16 months after the original surgery, and the patient has not yet undergone further surgery. Visual acuity improved by< 2 lines in 116 eyes (96% ). Mean visual improvement after surgery was 6 lines (range, 0- 14), and 96 eyes (79% ) achieved a final VA of 20/50 or better. There were no intraoperative or postoperative complications attributed to the use of ICG. Long- term follow- up of patients who underwent ICG- assisted ILM peeling for idiopathic macular hole repair demonstrates excellent anatomic and visual results.
