Epiretinal membrane negative staining and double peeling in a single block with Brilliant Blue G

2017 ◽  
Vol 28 (1) ◽  
pp. 112-116 ◽  
Author(s):  
David Martins ◽  
Pedro Neves

Purpose: To describe a surgical technique for combined peeling of epiretinal and internal limiting membranes. Methods: The authors present their procedure of choice for epiretinal membrane surgery: negative staining effect using Brilliant Blue G and single block removal of the epiretinal and internal limiting membranes in a single step. Results: A total of 26 eyes were operated with the described technique. In all cases, the peeling was performed successfully and with no complications. Minimum postoperative follow-up was 12 months. There were no recurrences of epiretinal membranes. Conclusions: The ideal surgical approach for epiretinal membranes should attempt to reduce mechanical trauma, light exposure, and dye toxicity.

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Tehmina Jahangir ◽  
Qasim Latif Chaudhary ◽  
Haroon Tayyab

Purpose:  To compare the completeness of ILM peel in cases of Idiopathic Epiretinal Membranes following double staining and double peeling  versus en bloc dissection of both using negative staining method. Study Design:  Quasi experimental study. Place and Duration of Study:  Jinnah Hospital Lahore, from October 2017 to March 2018. Material and Methods:  Forty eyes of forty patients with Idiopathic Epiretinal membranes (ERM) were selected by non-probability convenient method and divided into two groups. In group A, the ERM was initially stained with Trypan blue and then peeled. Subsequently the macula was re-stained with Brilliant blue G (BBG). In group B, ERM and ILM were successfully peeled together as a single membrane utilizing the single block technique, after a desired negative staining effect was obtained by injecting BBG. The thoroughness of the ILM peel was established using another injection of BBG although a few remains were often identified outside the central macular area, no other dyes were used. Results:  In group A, 8 of the 20 eyes (40%) had full undisturbed ILM present whereas in 10 eyes (50%) the ILM was there but damaged, only 2 eyes (10%) had near total ILM removed. In group B, the dual peeling was successful in 17 of the 20 cases (85%). There has been no recurrence of ERM until now. Conclusion:  Instead of peeling twice, the single en bloc negative staining technique with Brilliant blue G is a safer and more effective method for removal of ERM together with ILM.


Ophthalmology ◽  
2009 ◽  
Vol 116 (7) ◽  
pp. 1370-1376 ◽  
Author(s):  
Hiroyuki Shimada ◽  
Hiroyuki Nakashizuka ◽  
Takayuki Hattori ◽  
Ryusaburo Mori ◽  
Yoshihiro Mizutani ◽  
...  

2014 ◽  
Vol 4 (1) ◽  
Author(s):  
Yüksel Totan ◽  
Emre Güler ◽  
Mehmet Serdar Dervişoğulları

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