The Internal Limiting Membrane Peeling With Adjunct Use of Brilliant Blue G Staining for Retinal Detachment Due to Macular Hole in High Myopia

Abstract

Purpose:: To evaluate the efficacy of Brilliant Blue G (BBG) assisted internal limiting membrane (ILM) peeling for retinal detachments due to macular hole in high myopia.

Methods:: In 5 eyes of five patients with retinal detachment due to macular hole in high myopia, the BBG at a concentration of 0.25 mg/ml was injected into the midvitreous to stain the ILMs and stained ILM were removed using the ILM forceps. A fluid-gas exchange and a tamponade of a SF₆ or C₃F₈ was performed in all cases.

Results:: BBG dye selectively stained the ILM. This staining of the ILM provided a clear identification of the ILM and greatly facilitated ILM peeling. The postoperative mean follow-up was 11 months. The retina was reattached in all of the 5 eyes with a single surgery. The postoperative best corrected visual acuity improved or remained unchanged in all cases. Complications such as retinal pigment epithelium atrophy related to BBG use were not identified in this study.

Conclusions:: The technique for staining the ILMs in retinal detachment due to macular hole in high myopia using BBG gives better visualization and facilitates ILMs removal effectively.

Keywords: retinal detachment • macular holes • myopia