May 2008
Volume 49, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2008
Blood-Assisted Internal Limiting Membrane Peeling for Macular Hole Repair
Author Affiliations & Notes
  • C.-C. Lai
    Ophthalmology, Chang Gung Memorial Hospital, Kwei-Shan, Taiwan
  • L. Yeung
    Ophthalmology, Chang Gung Memorial Hospital, Keelung, Taiwan
  • Y.-H. Hwang
    Ophthalmology, Chang Gung Memorial Hospital, Kwei-Shan, Taiwan
  • K.-J. Chen
    Ophthalmology, Chang Gung Memorial Hospital, Kwei-Shan, Taiwan
  • L.-H. Chuang
    Ophthalmology, Chang Gung Memorial Hospital, Keelung, Taiwan
  • J.-I. Liu
    Ophthalmology, Chang Gung Memorial Hospital, Kwei-Shan, Taiwan
  • W.-C. Wu
    Ophthalmology, Chang Gung Memorial Hospital, Kwei-Shan, Taiwan
  • T.-L. Chen
    Ophthalmology, Chang Gung Memorial Hospital, Kwei-Shan, Taiwan
  • Footnotes
    Commercial Relationships  C. Lai, None; L. Yeung, None; Y. Hwang, None; K. Chen, None; L. Chuang, None; J. Liu, None; W. Wu, None; T. Chen, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science May 2008, Vol.49, 4689. doi:https://doi.org/
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      C.-C. Lai, L. Yeung, Y.-H. Hwang, K.-J. Chen, L.-H. Chuang, J.-I. Liu, W.-C. Wu, T.-L. Chen; Blood-Assisted Internal Limiting Membrane Peeling for Macular Hole Repair. Invest. Ophthalmol. Vis. Sci. 2008;49(13):4689. doi: https://doi.org/.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: : To evaluate the feasibility of whole blood in staining internal limiting membranes during internal limiting membrane peeling for macular hole.

Methods: : A total of 32 consecutive patients of macular hole who need internal limiting membrane peeling were enrolled. After core vitrectomy, autologous whole blood was applied to cover macula to stain the macular area in fluid-filled vitreous cavity. The redundant blood was removed and only a very thin blood left on the macular area. The blood-stained internal limiting membrane was removed by forceps.

Results: : The membranes were effectively stained and removed. The macular hole was closed with a single surgery in 32 eyes (100%). The median best-corrected visual acuity was improved from 20/100 preoperatively to 20/40postoperatively. No fundus changes were observed during the follow-up period.

Conclusions: : Whole blood could stain membranes and facilitate the visibility during membrane peeling. This method could prevent dye toxicity in dye-assisted membrane peeling.

Keywords: macular holes • injection • retinal pigment epithelium 
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