Makula Deliği Tedavisinde Brilliant Mavisi Yardımı ile İnternal Limitan Membran Soyulması

Amaç: İdyopatik makula deliği İMD olan olgularda brilliant mavisi yardımı ile internal limitan membran ILM soyulmasının anatomik ve görsel sonuçlarının değerlendirilmesi. Metod: İdyopatik makula deliği nedeniyle PPV ile kombine brilliant mavisi yardımı ile ILM soyulması uygulanan 32 olgunun 32 gözüne ait veriler retrospektif olarak incelendi. Olguların 10’u erkek, 22’i bayan olup ortalama yaşları 64.4 yıl idi. Tüm olgularda cerrahi öncesi ve sonrası görme keskinliği, slit-lamp biomikroskopi, göz içi basıncı GİB ölçümü, fundus muayenesi, fundus floresein anjiografi FFA ve optik koherens tomografi OKT içeren tam bir oftalmolojik muayene yapıldı. Bulgular: Cerrahi öncesi ortalama görme keskinliği 0.098 Snellen sırası idi. Ortalama takip süresi 9.2 ay olup cerrahi sonrası görme artışı veya aynı görme keskinliği olguların %93.7’inde saptandı. Ortalama görme artışı 3.2 Snellen sırası olarak saptandı. Cerrahi sonrası en sık gözlenen komplikasyon katarakt gelişimi idi %59.0 . Postoperatif dönemde iki gözde %6.2 regmatojen retina dekolmanı gelişti. Ameliyat sonrası kapanmayan makula deliği oranı %12.5 olup tekrar cerrahi sonrası 2 olguda makula deliği kapandı. Nüks delik oranı ise %3.1 1 göz idi.Sonuç: ERM’lı olgularda, PPV ile birlikte brilliant mavisi ile ILM soyulmasının etkin ve güvenilir bir yöntem olduğunu, görme keskinliğini arttırdığını gözlemledik

Brilliant Blue-Assisted Peeling of The Internal Limiting Membrane In The Treatment of Macular Hole

Brilliant blue-assisted peeling of the ınternal limiting membrane in the treatment of macular hole Purpose: To evaluate the anatomical and visual outcomes of brilliant blueassisted peeling of the internal limiting membrane ILM in patients with idiopathic macular hole IMH . Materials and Methods: The charts of 32 patients 32 eyes who had undergone PPV combined brilliant blue-assisted ILM peeling due to idiopathic macular hole were retrospectively reviewed. There were 10 men and 22 women, and the mean age of the patients was 64.4 years. In all patients, a complete ophthalmological examination including visual acuity determination, slit-lamp biomicroscopy, intraocular pressure IOP measurement, fundus examination, fundus fluorescein angiography FFA and optical coherence tomography OCT was performed before and after surgery. Results: Visual acuity averaged at 0.098 Snellen lines before surgery. The mean follow-up time was 9.2 months and vision acuity improved or unchanged in %93.7 of patients after surgery. The average improvement in visual acuity was 3.2 lines. The most common complication was cataract formation after surgery 59.0% . Postoperative rhegmatogenous retinal detachment was observed in two eyes 6.2% . After surgery, the rate of unclosed macular hole was 12.5%, and anatomically closed after reoperation. The rate of recurrence of macular hole was 3.1%. Conclusion: We observed that PPV combined with brilliant blue-assisted ILM peeling is a safe and effective procedure and increases the visual acuity.

Keywords:

idiopathic macular hole, brilliant blue internal limiting membran peeling,

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