Dlouhodobé výsledky chirurgického řešení idiopatické makulární díry s peelingem vnitřní limitující membrány
| Title in English | The long term results of surgical treatment of the idiopathic macular hole with the peeling of the internal limiting membrane |
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| Authors | |
| Year of publication | 2006 |
| Type | Article in Periodical |
| Magazine / Source | Česká a Slovenská oftalmologie |
| MU Faculty or unit | |
| Citation | |
| Field | ORL, ophthalmology, stomatology |
| Keywords | idiopathic macular hole; trypane blue; pars plana vitrectomy; gas tamponade; peeling of the internal limiting membrane; prone positioning of the head |
| Description | The aim of the study was to confirm the surgical treatment of the macular hole by means of pars plana vitrectomy with the peeling of the internal limiting membrane and gas tamponade by 15 % perfluoropropane. The stage of the macular hole was established according to the clinical findings and OCT examination in accordance with the Gass- classification. The final result of the surgery was verified at the end of the follow up period by means of clinical and OCT examination as well. All patients with idiopathic macular hole, the standard pars plana vitrectomy with the peeling of the posterior hyaloid was performed. After air/fluid exchange, the trypane blue (Membrane blue TM) was applied for 2 minutes. The peeling of the stained internal limiting membrane in the macular region was performed and tamponade with 15 % perfluoropropane was used. The prone position of the patients head for the next two weeks was recommended. At the end of the follow up period, the best-corrected visual acuity (BCVA) was assessed. The pars plana vitrectomy with the peeling of the internal limiting membrane represents an effective method of treatment of the idiopathic macular hole. The trypane blue (Membrane blue TM) staining facilitates the identification and delamination of the internal limiting membrane. |
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