Vitreoretinal surgery using bromphenol blue as a vital stain: evaluation of staining characteristics in humans

被引:15
作者
Haritoglou, Christos [1 ]
Schumann, Ricarda G. [1 ]
Strauss, Rupert [1 ]
Priglinger, Siegfried G. [1 ]
Neubauer, Aljoscha S. [1 ]
Kampik, Anselm [1 ]
机构
[1] Univ Munich, Dept Ophthalmol, D-80336 Munich, Germany
关键词
D O I
10.1136/bjo.2007.115113
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Objective: To evaluate the staining characteristics of bromphenol blue used during vitreoretinal surgery in humans. Patients and methods: 13 patients with epiretinal membranes were included. Before and after surgery a complete clinical examination including best corrected visual acuity, funduscopy, fluorescein angiography, OCT (Stratus), Goldmann perimetry and multifocal ERG as well as photography of the macular area was performed. Bromphenol blue was used in concentrations of 0.2% in most patients. Removed epiretinal tissue was evaluated using electron microscopy. Results: Using dye concentrations of 0.2% a good demarcation of epiretinal membranes was seen in 11/13 patients. Staining of vitreous remnants at the vitreous base was seen in all patients. No dye-related adverse events were seen during follow-up in the functional tests (VA, ERG, perimetry) performed. Histological evaluation of epiretinal membranes showed unremarkable aspects of epiretinal cellular layers and unremarkable retinal surface of the internal limiting membrane (ILM). Conclusion: Bromphenol blue appears to be a very helpful and safe tool in posterior segment surgery. The staining characteristics need to be further evaluated in prospective study settings and larger numbers of patients.
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收藏
页码:1125 / 1128
页数:4
相关论文
共 20 条
[1]  
Kadonosono K., Itoh N., Uchio E., Et al., Staining of internal limiting membrane in macular hole surgery, Arch Ophthalmol, 118, pp. 1116-1118, (2000)
[2]  
Feron E.J., Veckeneer M., Parys-Van Ginderdeuren R., Et al., Trypan blue staining of epiretinal membranes in proliferative vitreoretinopathy, Arch Ophthalmol, 120, pp. 141-144, (2002)
[3]  
Gandorfer A., Messmer E.M., Ulbig M.W., Et al., Indocyanine green selectively stains the internal limiting membrane, Am J Ophthalmol, 131, pp. 387-388, (2001)
[4]  
Haritoglou C., Gandorfer A., Gass C.A., Et al., Indocyanine green-assisted peeling of the internal limiting membrane in macular hole surgery affects visual outcome: A clinicopathologic correlation, Am J Ophthalmol, 134, pp. 836-841, (2002)
[5]  
Haritoglou C., Gandorfer A., Gass C.A., Et al., The effect of indocyanine-green on functional outcome of macular pucker surgery, Am J Ophthalmol, 135, pp. 328-337, (2003)
[6]  
Kanda S., Uemura A., Yamashita T., Et al., Visual field defects after intravitreous administration of indocyanine green in macular hole surgery, Arch Ophthalmol, 122, pp. 1447-1451, (2004)
[7]  
Burk S.E., Da Mata A.P., Snyder M.E., Et al., Indocyanine green-assisted peeling of the retinal internal limiting membrane, Ophthalmology, 107, pp. 2010-2014, (2000)
[8]  
Da Mata A.P., Burk S.E., Foster R.E., Et al., Long-term follow-up of indocyanine green-assisted peeling of the retinal internal limiting membrane during vitrectomy surgery for idiopathic macular hole repair, Ophthalmology, 111, pp. 2246-2253, (2004)
[9]  
Kodjikian L., Richter T., Halberstadt M., Et al., Toxic effects of indocyanine green, infracyanine green, and trypan blue on the human retinal pigmented epithelium, Graefes Arch Clin Exp Ophthalmol, 243, pp. 917-925, (2005)
[10]  
Luke C., Luke M., Dietlein T.S., Et al., Retinal tolerance to dyes, Br J Ophthalmol, 89, pp. 1188-1191, (2005)