Management of rhegmatogenous retinal detachment with coexisting macular hole: a comparison of vitrectomy with and without internal limiting membrane peeling.

Purpose: To compare the outcomes of vitrectomy with or without internal limiting membrane peeling for rhegmatogenous retinal detachment and coexisting macular hole.

Methods: Thirty-one consecutive patients (31 eyes) with macula-off retinal detachment, peripheral breaks and a coexisting macular hole were prospectively enrolled over a 3-year period. All patients underwent vitrectomy with encirclage and gas or silicone oil tamponade.

A comparison of brilliant blue G, trypan blue, and indocyanine green dyes to assist internal limiting membrane peeling during macular hole surgery.

Purpose: To compare surgical outcomes with three dyes, brilliant blue G (BBG), trypan blue (TB) and indocyanine green (ICG), used to facilitate internal limiting membrane peeling during macular hole surgery.

Methods: This comparative, interventional cases series consisted of 50 eyes of 50 patients with senile idiopathic macular holes, who underwent vitrectomy with internal limiting membrane peeling using BBG (n = 15), TB (n = 20), or ICG (n = 15). The cases involving use of BBG and TB were enrolled prospectively and concurrently, and the cases using ICG were selected through chart reviews.

Early closure of macular hole secondary to rhegmatogenous retinal detachment with internal limiting membrane peeling.

The authors report rapid closure of macular holes secondary to rhegmatogenous retinal detachment with internal limiting membrane peeling. Four patients with macular hole and macula-off rhegmatogenous retinal detachment underwent belt buckling, vitrectomy, and silicone oil tamponade. The internal limiting membrane was removed using trypan blue dye.

Optical coherence tomography findings in valsalva retinopathy.

Purpose: To demonstrate the plane of premacular hemorrhage in Valsalva retinopathy with optical coherence tomography

Design: Observational case report

Methods: Two young men with Valsalva stress-related premacular hemorrhage were evaluated by OCT scans, taken just above the level of sedimented blood.

Results: In both cases, OCT demonstrated two distinct membranes: a highly reflective band immediately above the premacular hemorrhage, corresponding to the internal limiting membrane, and an overlying patchy membrane with low optical reflectivity consistent with posterior hyaloid.

Conclusion: OCT supported the clinical impression that the plane of premacular hemorrhage in Valsalva retinopathy is probably under ILM.