Abstract
Injection of 1% methylcellulose or 1% sodium hyaluronate (Healonid) was used to separate attached vitreous cortex and fibrovascular epiretinal membranes from the retina in 40 eyes undergoing closed microsurgery for severe diabetic eye disease. The viscodelamination technique was of great value in elevating vitreous cortex or sparsely vascularised epiretinal membranes, especially in eyes with combined traction and rhegmatogenous retinal detachment. However, bleeding from or tearing of the retina limited the usefulness of this technique in the surgery of highly vascularised and adherent membranes, as in eyes with table-top traction retinal detachment. Recurrent epiretinal membrane proliferation was seen in some eyes postoperatively.
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- Barrie T., Feretis E., Leaver P., McLeod D. Closed microsurgery for diabetic traction macular detachment. Br J Ophthalmol. 1982 Dec;66(12):754–758. doi: 10.1136/bjo.66.12.754. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Barry P. J., Hiscott P. S., Grierson I., Marshall J., McLeod D. Reparative epiretinal fibrosis after diabetic vitrectomy. Trans Ophthalmol Soc U K. 1985;104(Pt 3):285–296. [PubMed] [Google Scholar]
- Blankenship G. W. Preoperative prognostic factors in diabetic pars plana vitrectomy. Ophthalmology. 1982 Nov;89(11):1246–1249. doi: 10.1016/s0161-6420(82)34654-0. [DOI] [PubMed] [Google Scholar]
- Faulborn J., Bowald S. Microproliferations in proliferative diabetic retinopathy and their relationship to the vitreous: corresponding light and electron microscopic studies. Graefes Arch Clin Exp Ophthalmol. 1985;223(3):130–138. doi: 10.1007/BF02148888. [DOI] [PubMed] [Google Scholar]
- Ficker L. A., Passani F., Leaver P. K., McLeod D. Xenon-arc endophotocoagulation during vitrectomy for diabetic vitreous haemorrhage. Graefes Arch Clin Exp Ophthalmol. 1986;224(5):423–427. doi: 10.1007/BF02173357. [DOI] [PubMed] [Google Scholar]
- Hiscott P. S., Grierson I., McLeod D. Natural history of fibrocellular epiretinal membranes: a quantitative, autoradiographic, and immunohistochemical study. Br J Ophthalmol. 1985 Nov;69(11):810–823. doi: 10.1136/bjo.69.11.810. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Irvine A. R. Indications for vitrectomy via the pars plana. Trans Ophthalmol Soc U K. 1975;95(3):436–443. [PubMed] [Google Scholar]
- Margherio R. R., Cox M. S., Jr, Trese M. T., Murphy P. L., Johnson J., Minor L. A. Removal of epimacular membranes. Ophthalmology. 1985 Aug;92(8):1075–1083. doi: 10.1016/s0161-6420(85)33902-7. [DOI] [PubMed] [Google Scholar]
- McLeod D., Hiscott P. S., Grierson I. Age-related cellular proliferation at the vitreoretinal juncture. Eye (Lond) 1987;1(Pt 2):263–281. doi: 10.1038/eye.1987.46. [DOI] [PubMed] [Google Scholar]
- McLeod D., Marshall J., Kohner E. M., Bird A. C. The role of axoplasmic transport in the pathogenesis of retinal cotton-wool spots. Br J Ophthalmol. 1977 Mar;61(3):177–191. doi: 10.1136/bjo.61.3.177. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McLeod D. Retinal ischaemia, disc swelling, and axoplasmic transport. Trans Ophthalmol Soc U K. 1976 Jul;96(2):313–318. [PubMed] [Google Scholar]
- McLeod D. Silicone-oil injection during closed microsurgery for diabetic retinal detachment. Graefes Arch Clin Exp Ophthalmol. 1986;224(1):55–59. doi: 10.1007/BF02144135. [DOI] [PubMed] [Google Scholar]
- Michels R. G. Vitrectomy for complications of diabetic retinopathy. Arch Ophthalmol. 1978 Feb;96(2):237–246. doi: 10.1001/archopht.1978.03910050105001. [DOI] [PubMed] [Google Scholar]
- O'Hanley G. P., Canny C. L. Diabetic dense premacular hemorrhage. A possible indication for prompt vitrectomy. Ophthalmology. 1985 Apr;92(4):507–511. doi: 10.1016/s0161-6420(85)34014-9. [DOI] [PubMed] [Google Scholar]
- Ramsay R. C., Knobloch W. H., Cantrill H. L. Timing of vitrectomy for active proliferative diabetic retinopathy. Ophthalmology. 1986 Mar;93(3):283–289. doi: 10.1016/s0161-6420(86)33742-4. [DOI] [PubMed] [Google Scholar]






