Morphologic and functional advantages of macular hole surgery with brilliant blue G-assisted internal limiting membrane peeling.

摘要

Removal of the internal limiting membrane (ILM) is an effective additional treatment in macular hole (MH) surgery.The transparency of the ILM requires high skill to peel the membrane. In 2000, a technique using indocyanine green (ICG) to stain and peel the ILM was reported. However, some investigators have reported retinal toxicity of the residual ICG. Other investigators have shown the toxicity of ICG to the retinal pigment epithelium in vitro and in vivo. These reports indicate that surgeons have to be very careful not to allow ICG to remain subretinally at the end of MH surgery because it can cause postoperative complications such as retinal pigment epithelial changes and subsequent visual field loss.