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25-gauge Vitrectomy for Macular Hole Demonstrating ILM Peeling using Triesence Enhancement
by Daniel Kiernan MD, Seenu Hariprasad MD
Seenu M. Hariprasad, MD, and Daniel Kiernan, MD, perform a 25-gauge vitrectomy for a macular hole. Triesence (Alcon, Fort Worth, TX) crystals coat the macula which helps guide peeling of the internal limiting membrane around the macular hole.
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Comments (12)
Hi EyeBugr: Experience is the answer. Cortical vitreous is 'stringy' and not a distinct membrane, ERM is 'thick' and a distinct membrane, ILM is thin and friable. Really, you need to keep using Triesence or Kenalog to see the difference. When in doubt, it is very easy to reapply and see if anything highlights.
how does one know that ILM is peeled and not ERM/hyaloid?
Thank you
Hi Karun: The 1123x forceps are custom made Synergetics 25g forceps.
Hi seenu
Hi Len: Thanks for the comment.... See my response to Piskulich.
difference between triamcinolone and triessence? About $100 :)
whats the forceps you have used ?
Hi Piskulich:
whats the difference between triecense and triamcinolone?