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Article: Peel and peel again

TitlePeel and peel again
Authors
Issue Date2008
PublisherBMJ Publishing Group. The Journal's web site is located at http://bjo.bmjjournals.com/
Citation
British Journal Of Ophthalmology, 2008, v. 92 n. 3, p. 373-377 How to Cite?
AbstractAim: To determine if the internal limiting membrane (ILM) was present in the epiretinal membrane (ERM) when we deliberately tried to perform a "double peel" for macular pucker. Methods: Pars-plana vitrectomy and a "double peel" were carried out. The ERM and ILM were stained with Trypan Blue and peeled separately over the same area. The amount of ERM present in ILM specimens and the amount of ILM present in ERM specimens were evaluated by histological examination. Results: Seventeen eyes in 17 patients were included. It was possible to double peel in all cases. Five of 17 ERM specimens (29%) contained ILM fragments. When ILM was present on the ERM, it represented less than 50% of the sample. One ILM specimen was lost as result of an administrative error; of the remaining 16 specimens, residual ERM was found in six, and cellular remnants were observed on the vitreous surface in a further six of the ILMs. Clinically, no recurrence of ERM was found. Conclusion: ILM was present in some ERM specimens seemingly over the same area that an intact ILM was subsequently peel. We speculate that the ILM in the ERM represent a secondary basement membrane and that the surgical plane of dissection for most ERM peel is between the ERM and the native ILM, making it feasible to double peel routinely.
Persistent Identifierhttp://hdl.handle.net/10722/90372
ISSN
2015 Impact Factor: 3.036
2015 SCImago Journal Rankings: 1.873
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorGibran, SKen_HK
dc.contributor.authorFlemming, Ben_HK
dc.contributor.authorStappler, Ten_HK
dc.contributor.authorPearce, Ien_HK
dc.contributor.authorGroenewald, Cen_HK
dc.contributor.authorHeimann, Hen_HK
dc.contributor.authorHiscott, Pen_HK
dc.contributor.authorWong, Den_HK
dc.date.accessioned2010-09-06T10:09:28Z-
dc.date.available2010-09-06T10:09:28Z-
dc.date.issued2008en_HK
dc.identifier.citationBritish Journal Of Ophthalmology, 2008, v. 92 n. 3, p. 373-377en_HK
dc.identifier.issn0007-1161en_HK
dc.identifier.urihttp://hdl.handle.net/10722/90372-
dc.description.abstractAim: To determine if the internal limiting membrane (ILM) was present in the epiretinal membrane (ERM) when we deliberately tried to perform a "double peel" for macular pucker. Methods: Pars-plana vitrectomy and a "double peel" were carried out. The ERM and ILM were stained with Trypan Blue and peeled separately over the same area. The amount of ERM present in ILM specimens and the amount of ILM present in ERM specimens were evaluated by histological examination. Results: Seventeen eyes in 17 patients were included. It was possible to double peel in all cases. Five of 17 ERM specimens (29%) contained ILM fragments. When ILM was present on the ERM, it represented less than 50% of the sample. One ILM specimen was lost as result of an administrative error; of the remaining 16 specimens, residual ERM was found in six, and cellular remnants were observed on the vitreous surface in a further six of the ILMs. Clinically, no recurrence of ERM was found. Conclusion: ILM was present in some ERM specimens seemingly over the same area that an intact ILM was subsequently peel. We speculate that the ILM in the ERM represent a secondary basement membrane and that the surgical plane of dissection for most ERM peel is between the ERM and the native ILM, making it feasible to double peel routinely.en_HK
dc.languageengen_HK
dc.publisherBMJ Publishing Group. The Journal's web site is located at http://bjo.bmjjournals.com/en_HK
dc.relation.ispartofBritish Journal of Ophthalmologyen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.rightsBritish Journal of Ophthalmology. Copyright © BMJ Publishing Group.en_HK
dc.subject.meshBasement Membrane - pathology-
dc.subject.meshColoring Agents-
dc.subject.meshEpiretinal Membrane - diagnosis - pathology - surgery-
dc.subject.meshTreatment Outcome-
dc.subject.meshTrypan Blue - diagnostic use-
dc.titlePeel and peel againen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0007-1161&volume=92&issue=3&spage=373&epage=377&date=2008&atitle=Peel+and+peel+againen_HK
dc.identifier.emailWong, D: shdwong@hku.hken_HK
dc.identifier.authorityWong, D=rp00516en_HK
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1136/bjo.2007.129965en_HK
dc.identifier.pmid18055573en_HK
dc.identifier.scopuseid_2-s2.0-40549090927en_HK
dc.identifier.hkuros152809en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-40549090927&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume92en_HK
dc.identifier.issue3en_HK
dc.identifier.spage373en_HK
dc.identifier.epage377en_HK
dc.identifier.isiWOS:000253991800018-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridGibran, SK=13205333800en_HK
dc.identifier.scopusauthoridFlemming, B=23972303900en_HK
dc.identifier.scopusauthoridStappler, T=8563727800en_HK
dc.identifier.scopusauthoridPearce, I=35345778700en_HK
dc.identifier.scopusauthoridGroenewald, C=6601917086en_HK
dc.identifier.scopusauthoridHeimann, H=7006780277en_HK
dc.identifier.scopusauthoridHiscott, P=7006368693en_HK
dc.identifier.scopusauthoridWong, D=7401536078en_HK

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