Update on chromovitrectomy and macular Hole Repair
نویسندگان
چکیده
R ecently, enzymatic vitrectomy has been applied to macular hole (MH) repair. A clinical trial indicated that 40% of MH cases could be treated with a single injection of ocriplasmin (Jetrea, ThromboGenics).1 These results are exciting, but the remaining 60% of patients still require surgery, specifically pars plana vitrectomy (PPV) and internal limiting membrane (ILM) peeling for hole repair. It is widely accepted that ILM peeling can contribute to better anatomic and functional results during MH surgery.2 However, removing the barely visible ILM can be technically challenging even for experienced surgeons. Hence, chromovitrectomy, or the use of dyes to enhance the visibility of the ILM to facilitate membrane removal, and thus increase the safety of intentional peeling of the ILM, has become a popular procedure over the past few decades.3
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