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Article: Double peel using triamcinolone acetonide and trypan blue in the management of myopic macular hole with retinal detachment: A case-control study

TitleDouble peel using triamcinolone acetonide and trypan blue in the management of myopic macular hole with retinal detachment: A case-control study
Authors
KeywordsHigh myopia
Macular hole
Retinal detachment
Triamcinolone acetonide
Trypan blue
Issue Date2010
PublisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CEO
Citation
Clinical And Experimental Ophthalmology, 2010, v. 38 n. 7, p. 664-668 How to Cite?
AbstractAbstract: Purpose: To evaluate the safety and efficacy of double peel using triamcinolone acetonide (TA) and trypan blue (TB) in removing epiretinal tissues in vitrectomy for myopic macular hole with retinal detachment (MHRD).Methods: Prospective interventional case control study. Patients with myopic MHRD underwent vitrectomy with TA-assisted adherent cortical vitreous (ACV) removal followed by TB-assisted internal-limiting membrane (ILM) peeling and gas tamponade. The results were compared with historical control group without the use of any vital dye or TA.Results: Ten eyes of 10 study cases were compared with nine eyes of nine control cases. Mean axial length was 28.3 ± 1.4 mm and 29.6 ± 2.4 mm and mean follow-up period was 15 months and 42 months for the study group and the control group, respectively. Reattachment rate was 70% in the study group and 44% in the control group. Mean logMAR visual acuity improvement was 0.02 at 6 months and 0.01 at 12 months for the study group (P < 0.05). Transient intraocular pressure rise was observed in seven eyes in the study group and five eyes in the control group. No other complication was noted.Conclusion: Double peel using TA and TB appeared safe and effective in facilitating removal of ACV and ILM in MHRD. It has higher surgical success rate compared with conventional vitrectomy with epiretinal membrane peeling and gas tamponade. © 2010 The Authors. Journal compilation © 2010 Royal Australian and New Zealand College of Ophthalmologists.
Persistent Identifierhttp://hdl.handle.net/10722/127686
ISSN
2015 Impact Factor: 2.546
2015 SCImago Journal Rankings: 1.335
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLi, KKWen_HK
dc.contributor.authorTang, EWHen_HK
dc.contributor.authorLi, PSHen_HK
dc.contributor.authorWong, Den_HK
dc.date.accessioned2010-10-31T13:40:08Z-
dc.date.available2010-10-31T13:40:08Z-
dc.date.issued2010en_HK
dc.identifier.citationClinical And Experimental Ophthalmology, 2010, v. 38 n. 7, p. 664-668en_HK
dc.identifier.issn1442-6404en_HK
dc.identifier.urihttp://hdl.handle.net/10722/127686-
dc.description.abstractAbstract: Purpose: To evaluate the safety and efficacy of double peel using triamcinolone acetonide (TA) and trypan blue (TB) in removing epiretinal tissues in vitrectomy for myopic macular hole with retinal detachment (MHRD).Methods: Prospective interventional case control study. Patients with myopic MHRD underwent vitrectomy with TA-assisted adherent cortical vitreous (ACV) removal followed by TB-assisted internal-limiting membrane (ILM) peeling and gas tamponade. The results were compared with historical control group without the use of any vital dye or TA.Results: Ten eyes of 10 study cases were compared with nine eyes of nine control cases. Mean axial length was 28.3 ± 1.4 mm and 29.6 ± 2.4 mm and mean follow-up period was 15 months and 42 months for the study group and the control group, respectively. Reattachment rate was 70% in the study group and 44% in the control group. Mean logMAR visual acuity improvement was 0.02 at 6 months and 0.01 at 12 months for the study group (P < 0.05). Transient intraocular pressure rise was observed in seven eyes in the study group and five eyes in the control group. No other complication was noted.Conclusion: Double peel using TA and TB appeared safe and effective in facilitating removal of ACV and ILM in MHRD. It has higher surgical success rate compared with conventional vitrectomy with epiretinal membrane peeling and gas tamponade. © 2010 The Authors. Journal compilation © 2010 Royal Australian and New Zealand College of Ophthalmologists.en_HK
dc.languageengen_HK
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CEOen_HK
dc.relation.ispartofClinical and Experimental Ophthalmologyen_HK
dc.rightsThe definitive version is available at www.blackwell-synergy.com-
dc.subjectHigh myopiaen_HK
dc.subjectMacular holeen_HK
dc.subjectRetinal detachmenten_HK
dc.subjectTriamcinolone acetonideen_HK
dc.subjectTrypan blueen_HK
dc.subject.meshColoring Agents - diagnostic use-
dc.subject.meshGlucocorticoids - diagnostic use-
dc.subject.meshMyopia - complications - physiopathology-
dc.subject.meshRetinal Detachment - complications - physiopathology - surgery-
dc.subject.meshRetinal Perforations - complications - diagnosis - physiopathology - surgery-
dc.titleDouble peel using triamcinolone acetonide and trypan blue in the management of myopic macular hole with retinal detachment: A case-control studyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1442-6404&volume=38&issue=7&spage=664&epage=668&date=2010&atitle=Double+peel+using+triamcinolone+acetonide+and+trypan+blue+in+the+management+of+myopic+macular+hole+with+retinal+detachment:+a+case-control+study-
dc.identifier.emailWong, D: shdwong@hku.hken_HK
dc.identifier.authorityWong, D=rp00516en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1442-9071.2010.02333.xen_HK
dc.identifier.pmid20497431-
dc.identifier.scopuseid_2-s2.0-77958477996en_HK
dc.identifier.hkuros181859en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77958477996&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume38en_HK
dc.identifier.issue7en_HK
dc.identifier.spage664en_HK
dc.identifier.epage668en_HK
dc.identifier.isiWOS:000282979200004-
dc.publisher.placeAustraliaen_HK
dc.identifier.scopusauthoridLi, KKW=7404990010en_HK
dc.identifier.scopusauthoridTang, EWH=7006462058en_HK
dc.identifier.scopusauthoridLi, PSH=14219399300en_HK
dc.identifier.scopusauthoridWong, D=7401536078en_HK
dc.identifier.citeulike8031515-

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