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Henrich, PB; Priglinger, SG; Haritoglou, C; Schumann, RG; Strauss, RW; Schneider, U; Josifova, T; Cattin, PC.
Quantification of contrast recognizability in sequential epiretinal membrane removal and internal limiting membrane peeling in trypan blue-assisted macular surgery.
Retina. 2013; 33(4):818-824 Doi: 10.1097/IAE.0b013e318271f250
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Strauß Rupert
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Abstract:
Purpose: To evaluate the selectivity and strength of intraoperative trypan blue staining during removal of epiretinal membranes (ERMs) and the internal limiting membrane. Methods: Based on intraoperative videos, 51 consecutive chromovitrectomies in 51 patients with macular holes, macular pucker, vitreomacular traction syndromes, or persistent macular edema were retrospectively studied. Fifteen subjects underwent trypan blue, 14 indocyanine green, and 22 brilliant blue G chromovitrectomy. The main outcome measure was the color contrast between stained internal limiting membrane or ERM and the underlying unstained tissue by means of objective, quantitative, semiautomated chromaticity difference measurements. Results: Trypan blue stains both ERM and the internal limiting membrane (average chromaticity scores 8.51 and 7.09, respectively; P = 0.48). Internal limiting membrane chromaticity scores were similar for trypan blue (7.09) and brilliant blue G (6.81; P = 0.71) but clearly higher for indocyanine green (15.81; P = 2.45 +/- 10(-5)). Conclusion: Under the premises of our study, trypan blue stains both ERM and the internal limiting membrane. Trypan blue's staining capacity of the internal limiting membrane is similar to that of brilliant blue G but significantly inferior compared with indocyanine green. Trypan blue, thus, represents a useful vital dye for chromovitrectomy, particularly in the presence of ERM, where it allows a sequential approach. RETINA 33:818-824, 2013
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Aged, 80 and over -
Basement Membrane - pathology
Coloring Agents - diagnostic use
Contrast Sensitivity -
Epiretinal Membrane - diagnosis
Female -
Humans -
Indocyanine Green - diagnostic use
Male -
Middle Aged -
Retrospective Studies -
Rosaniline Dyes - diagnostic use
Staining and Labeling - methods
Trypan Blue - diagnostic use
Video Recording -
Vitrectomy -

Find related publications in this database (Keywords)
TB
trypan blue
BBG
brilliant blue G
chromovitrectomy
contrast perception
epiretinal membranes
ERM
internal limiting membrane
ILM
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