J Korean Ophthalmol Soc > Volume 57(3); 2016 > Article
Journal of the Korean Ophthalmological Society 2016;57(3):445-452.
DOI: https://doi.org/10.3341/jkos.2016.57.3.445    Published online March 15, 2016.
Clinical Outcomes of Indocyanine Green-Assisted Peeling of the Internal Limiting Membrane in Epiretinal Membrane Surgery.
Woo Seok Choi, Woo Jin Jeong, Yoon Hyung Kwon
Department of Ophthalmology, Dong-A University College of Medicine, Busan, Korea. yhkwon@dau.ac.kr
특발성 망막전막에서 내경계막제거 시 인도시아닌그린 사용 여부 및 노출시간에 따른 수술 결과 비교
최우석⋅정우진⋅권윤형
동아대학교 의과대학 안과학교실
Abstract
PURPOSE
In this study we compared the clinical outcomes of idiopathic epiretinal membrane (ERM) surgery according to the use of indocyanine green (ICG) and ICG exposure time. METHODS: The medical records of 76 patients with an idiopathic ERM that underwent vitrectomy and ERM and internal limiting membrane (ILM) removal were reviewed. We compared the results (best corrected visual acuity [BCVA, log MAR] and central macular thickness [CMT, µm]) of idiopathic ERM surgeries using ILM peeling with (group I, 39 eyes) and without ICG (group II, 37 eyes). Additionally, the correlation of ICG exposure time and clinical outcomes in group I was analyzed. RESULTS: Gender, age, lens state, preoperative BCVA, and preoperative CMT were not significantly different between the two groups. The postoperative BCVA was significantly improved in both groups but the difference was not statistically significant. The postoperative CMT was significantly improved in both groups and the change amount of group I was more larger than group II. Additionally, ICG exposure time was not significantly correlated with changes of BCVA and CMT. CONCLUSIONS: Intravitreal ICG-assisted ILM peeling did not significantly affect the recovery of BCVA, however that impaired the recovery of CMT. ICG exposure time did not affect the postoperative visual outcome.
Key Words: Exposure time;Idiopathic epiretinal membrane;Indocyanine green;Internal limiting membrane


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