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BRIEF COMMUNICATION
Year : 2011  |  Volume : 59  |  Issue : 2  |  Page : 158-160

Brilliant blue G-assisted peeling of the internal limiting membrane in macular hole surgery


Department of Vitreoretina and Uvea Services, Dr. R. P. Center for Ophthalmic Sciences, AIIMS, New Delhi, India

Correspondence Address:
Prashant Naithani
Room No. 488, Fourth Floor, Dr. R. P. Center for Ophthalmic Sciences, AIIMS, Ansari Nagar, New Delhi - 10029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.77047

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Dye-assisted internal limiting membrane (ILM) peeling and gas tamponade is the surgery of choice for idiopathic macular holes. Indocyanine green and trypan blue have been extensively used to stain the ILM. However, the retinal toxicity of indocyanine green and non-uniform staining with trypan blue has necessitated development of newer vital dyes. Brilliant blue G has recently been introduced as one such dye with adequate ILM staining and no reported retinal toxicity. We performed a 23-gauge pars plana vitrectomy with brilliant blue G-assisted ILM peeling in six patients with idiopathic macular holes, to assess the staining characteristics and short-term adverse effects of this dye. Adequate staining assisted in the complete removal of ILM and closure of macular holes in all cases. There was no evidence of intraoperative or postoperative dye-related toxicity. Brilliant blue G appears to be safe dye for ILM staining in macular hole surgery.


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