Korean J Ophthalmol.  2013 Aug;27(4):256-260. 10.3341/kjo.2013.27.4.256.

Clinical Outcomes of Double Staining and Additional ILM Peeling during ERM Surgery

• Oh HN
• Lee JE
• Kim HW
• Yun IH

• KMID: 1705421
• DOI: http://doi.org/10.3341/kjo.2013.27.4.256

Abstract

PURPOSE
To assess the clinical outcomes in idiopathic epiretinal membrane (ERM) patients after vitrectomy and ERM removal with or without additional indocyanine green (ICG)-assisted internal limiting membrane (ILM) peeling.
METHODS
The medical records of 43 patients with an idiopathic ERM that underwent vitrectomy and ERM removal between July 2007 and April 2010 were reviewed. The patients were divided into two groups: triamcinolone-assisted simple ERM peeling only (group A, n = 23) and triamcinolone-assisted ERM peeling followed by ICG staining and peeling of the remaining internal ILM (group B, n = 20).
RESULTS
No difference was found between the two groups in terms of visual acuity, macular thickness, P1 amplitude or implicit time on multifocal-electroretinogram (mfERG) at six and 12 months postoperatively. In group B, ICG staining after ERM peeling demonstrated that the ILM had been removed together with the ERM in 12 eyes (60%), and all 12 eyes showed punctate retinal hemorrhages during ERM peeling. There was no recurrence of an ERM in either group.
CONCLUSIONS
Additional procedures involving ICG staining and ILM peeling during ERM surgery do not appear to have an additive effect on the clinical outcomes in terms of visual acuity, retinal function based on mfERG, or recurrence rate.

Keyword

Double staining; Epiretinal membrane; Internal limiting membrane

MeSH Terms

Aged
Coloring Agents/diagnostic use
Epiretinal Membrane/*surgery
Female
Follow-Up Studies
Humans
Indocyanine Green/*diagnostic use
Male
Middle Aged
Postoperative Complications/*diagnosis
Retinal Hemorrhage/diagnosis
Retrospective Studies
Treatment Outcome
Visual Acuity
*Vitrectomy
Coloring Agents
Indocyanine Green

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