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Journal of Ophthalmology
Volume 2016, Article ID 8283062, 7 pages
Clinical Study

Viscoat Assisted Inverted Internal Limiting Membrane Flap Technique for Large Macular Holes Associated with High Myopia

Eye Hospital, Wenzhou Medical University, 270 Xueyuan Road, Wenzhou, Zhejiang 325027, China

Received 14 December 2015; Accepted 17 February 2016

Academic Editor: Lawrence S. Morse

Copyright © 2016 Zongming Song et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Supplementary Material

Video clips demostating the basic procedure of the Viscoat assisted single-layered inverted internal limiting membrane (ILM) flap technique. The vitreous is excised with the assistance of Triamcinolone acetonide. Viscoat® (Alcon Laboratories, Fort Worth, Texas, USA) is injected into the MH before applying the 0.125% Indocyanine green (ICG) solution to the posterior pole. Excessive ICG and Viscoat is removed by suction.The ILM is peeled off in a circular fashion for approximately 2.5 disc diameters around the MH. The inferior ILM is completely peeled off while the superior ILM flap is inverted using the intraocular forceps to cover the whole MH. Supplementary Viscoat is applied on top of the inverted ILM flap as ballast before air-fluid exchange is performed.

  1. Supplementary Material