ISSN: 1300-0365
Dil: Türkçe
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Peeling Of Internal Limiting Membrane In Vitreoretinal Surgery
Dr. Abdullah KARACAa Dr. Lider ÇELİK,b Dr. Nilüfer KOÇAK,a Dr. Süleyman KAYNAKa
aGöz Hastalıkları AD, Dokuz Eylül Üniversitesi Tıp Fakültesi,bÖzel Retina Göz Merkezi, İZMİR
The innermost layer of the retina, internal limiting membrane, (ILM) forms a boundary between the retina and the vitreous. It has been proposed that the ILM –due to its anatomic location- may act as a scaffold for the cellular proliferation in the pathogenesis of epiretinal membrane, vitreomacular traction, macular hole and similar diseases. Removal of ILM, therefore, has been thought to add some advantages to the vitreoretinal surgery. The technique of removal is difficult as the ILM is transparent and very thin. Administration of indocyanine green (ICG), trypan blue (TB) and triamcinolone acetonide (TA) onto the retina during the surgery increases the visibility of the membrane. The adverse effects of these substances on the retinal neural and pigment epithelial layers are issues of great debate. Especially ICG, has been the subject of many papers due to its adverse effects on both ganglion cells and retinal pigment epithelium. The peeling of İLM -when applied in the correct indications- may add some advantages of postoperative visual and anatomical results in combination with other vitreoretinal interventions. The procedure may become easier and faster when staining material like ICG, TB and TA are applied in correct dosages and concentrations.Keywords: Internal limiting membrane, vitrectomy, indocyanine green, trypan blue, triamcinolone acetonideTurkiye Klinikleri J Ophthalmol 2005, 14:123-129
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