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RM Feist, BW Roberts, JO Mason, TL Emond; Visual Outcome Of Macular Pucker Surgery With And Without Indocyanine Green Internal Limiting Membrane Peeling . Invest. Ophthalmol. Vis. Sci. 2002;43(13):3529.
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Purpose: To assess the visual acuity improvement for macular pucker surgery with and without indocyanine green (ICG) internal limiting membrane (ILM) peeling. Methods: We retrospectively reviewed the charts of thirty consecutive patients (30 eyes) who underwent vitrectomy with membrane peeling for idiopathic pucker between June 2000 and October 2001. Surgical technique included standard pars plana vitrectomy in all cases. Fifteen patients underwent standard macular pucker peeling with 25-gauge forceps and 15 patients had macular pucker peeling with ICG dye to also peel the ILM. Average postoperative follow-up was three months. Results: Visual acuity in this early follow-up period improved in 80% (no ILM peel) and 93% (ILM peel with ICG dye). Twenty percent of eyes without ILM peel halved the visual angle compared to 60% of the ICG enhanced ILM-peeled eyes. Visual acuity improved four or more lines in 25% (no ILM peel) and 75% (ILM peel with ICG dye). No eyes in either group suffered any loss of vision. There was no retinal ICG toxicity in any of the patients. Conclusion: Visual acuity results in this early follow-up period are better in eyes that underwent macular pucker peeling with ICG dye enhanced ILM-peeling.
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