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Lothar Krause, Vasileios Petousis; Visual Acuity after Brilliant Blue G assisted Vitrectomy in Macular Surgery: a Small Case Series with 72 Eyes. Invest. Ophthalmol. Vis. Sci. 2012;53(14):3792.
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© ARVO (1962-2015); The Authors (2016-present)
To demonstrate the visual outcome after application of a selective dye of the membrana limitans interna (ILM) in the surgical treatment of macular disease.
We retrospectively analysed the charts of 72 eyes, treated between 2008 and 2010 with a Brilliant Blue G assisted vitrectomy. The cause of treatment was in 38 eyes an epiretinal membrane, 26 a macular hole, 3 a tractional retinal detachment and in 5 eyes a vitreoretinal traction syndrome. Fourteen eyes were already pseudophakic at time of surgery. In 55 eyes the cataract surgery was performed during the vitrectomy. In 2 eyes the cataract surgery was performed in the follow up, while in 4 cases the patients remained phakic.
The median preoperative visual acuity was 0.2 and improved to 0.4, with a median follow up of 6 months (min: 2 months, max: 34 months). In the pseudophakic group median visual acuity changed from 0.25 to 0.4, while in the group undergoing cataract surgery by the vitrectomy, vision improved from 0.2 to 0.4. In the group of epiretinal membrane and macular hole, vision improved from 0.32 to 0.4 and from 0.16 to 0.4, respectively.
The postoperative visual acuity was most favorable in eyes with macular hole. Brilliant blue G did not result in a negative functional result.
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