특발성 황반원공에서 내경계막 제거함에 있어 인도사이아닌그린 염색 사용여부에 따른 수술 결과

• 영문명: Internal Limiting Membrane Peeling with or without Indocyanine Green in Macular Hole Surgery
• 발행기관: 대한안과학회
• 저자명: 최영호 박준우 조영욱,Young-Ho Choi, M.D., Joon-Woo Park, M.D., Young-Wook Cho, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume46,number8, 1342~1350쪽, 전체 9쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2005.08.31

영문 초록

Purpose: In this study, the outcome of internal limiting membrane (ILM) peeling in idiopathic macular hole surgery with or without indocyanine green (ICG) was investigated. Methods: Thirty eyes of 28 patients with idiopathic macular hole stage 3 or 4 who underwent vitrectomy were included. Follow-up duration in all cases was longer than 6 months. We analyzed the anatomical and functional results of macular hole surgeries using ILM peeling with (15 eyes) and without ICG (15 eyes). Results: There were no significant differences in sex, age, symptom duration, hole size, preoperative corrected visual acuity, or follow-up duration between the two groups. Anatomical success rates were 93.3% (14/15 eyes) in ILM peeling with ICG and 80.0% (12/15 eyes) in ILM peeling without ICG. In the cases of anatomical success, there was a statistically- significant difference between the functional success rates of 50.0% (7/14 eyes) in ILM peeling with ICG and 91.7% (11/12 eyes) in ILM peeling without ICG. Conclusions: While there was no statistically-significant difference in the anatomic success rate for idiopathic macular hole surgery with and without ICG, our results suggest the ILM peeling using ICG might produce a negative effect on functional success. Further studies are necessary to evaluation the toxicity of ICG in the context of macular hole surgery.

키워드

Idiopathic macular hole, Indocyanine green, Internal limiting membrane