Chromovitrectomy: an Update

Adequate visualization and identification of the posterior hyaloid, epiretinal membranes and the internal limiting membrane are of paramount importance in modern vitreoretinal surgery. "Chromovitrectomy" is a term used for describing the vital dyes use in order to stain these transparent t...

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Main Authors: Flora Hernández, Natalia Alpizar-Alvarez, Lihteh Wu
Format: Article
Language:English
Published: Knowledge E 2014-01-01
Series:Journal of Ophthalmic & Vision Research
Subjects:
Online Access:http://www.jovr.org/article.asp?issn=2008-322X;year=2014;volume=9;issue=2;spage=251;epage=259;aulast=Hernández
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author Flora Hernández
Natalia Alpizar-Alvarez
Lihteh Wu
author_facet Flora Hernández
Natalia Alpizar-Alvarez
Lihteh Wu
author_sort Flora Hernández
collection DOAJ
description Adequate visualization and identification of the posterior hyaloid, epiretinal membranes and the internal limiting membrane are of paramount importance in modern vitreoretinal surgery. "Chromovitrectomy" is a term used for describing the vital dyes use in order to stain these transparent tissues and facilitate their manipulation during vitreous surgery. This article reviews the indications, applications and characteristics of vital dyes in vitreoretinal surgery. Various dyes are currently being used in routine clinical procedures, however the ideal staining agent has not yet been found. Any dye which is injected intravitreally has the potential to become toxic. Triamcinolone acetonide is used to highlight the vitreous and is particularly beneficial in determining the attachment of the posterior hyaloid to the underlying retina. Trypan blue stains epiretinal membranes and facilitates their complete removal. Both indocyanine green and brilliant blue G stain the internal limiting membrane properly, however concerns over indocyanine green toxicity have made surgeons switch to brillliant blue G as a safer alternative.
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spelling doaj.art-cb9e90103c344ba6af6ee8945eba7b0f2022-12-22T04:38:35ZengKnowledge EJournal of Ophthalmic & Vision Research2008-322X2014-01-0192251259Chromovitrectomy: an UpdateFlora HernándezNatalia Alpizar-AlvarezLihteh WuAdequate visualization and identification of the posterior hyaloid, epiretinal membranes and the internal limiting membrane are of paramount importance in modern vitreoretinal surgery. "Chromovitrectomy" is a term used for describing the vital dyes use in order to stain these transparent tissues and facilitate their manipulation during vitreous surgery. This article reviews the indications, applications and characteristics of vital dyes in vitreoretinal surgery. Various dyes are currently being used in routine clinical procedures, however the ideal staining agent has not yet been found. Any dye which is injected intravitreally has the potential to become toxic. Triamcinolone acetonide is used to highlight the vitreous and is particularly beneficial in determining the attachment of the posterior hyaloid to the underlying retina. Trypan blue stains epiretinal membranes and facilitates their complete removal. Both indocyanine green and brilliant blue G stain the internal limiting membrane properly, however concerns over indocyanine green toxicity have made surgeons switch to brillliant blue G as a safer alternative.http://www.jovr.org/article.asp?issn=2008-322X;year=2014;volume=9;issue=2;spage=251;epage=259;aulast=HernándezChromovitrectomy; Trypan Blue; Indocyanine Green; Brilliant Blue G; Internal Limiting Membrane; Posterior Hyaloid; Epiretinal Membrane
spellingShingle Flora Hernández
Natalia Alpizar-Alvarez
Lihteh Wu
Chromovitrectomy: an Update
Journal of Ophthalmic & Vision Research
Chromovitrectomy; Trypan Blue; Indocyanine Green; Brilliant Blue G; Internal Limiting Membrane; Posterior Hyaloid; Epiretinal Membrane
title Chromovitrectomy: an Update
title_full Chromovitrectomy: an Update
title_fullStr Chromovitrectomy: an Update
title_full_unstemmed Chromovitrectomy: an Update
title_short Chromovitrectomy: an Update
title_sort chromovitrectomy an update
topic Chromovitrectomy; Trypan Blue; Indocyanine Green; Brilliant Blue G; Internal Limiting Membrane; Posterior Hyaloid; Epiretinal Membrane
url http://www.jovr.org/article.asp?issn=2008-322X;year=2014;volume=9;issue=2;spage=251;epage=259;aulast=Hernández
work_keys_str_mv AT florahernandez chromovitrectomyanupdate
AT nataliaalpizaralvarez chromovitrectomyanupdate
AT lihtehwu chromovitrectomyanupdate