25-gauge Vitrectomy for Macular Hole Demonstrating ILM Peeling using Triesence Enhancement

Daniel Kiernan MD, Seenu Hariprasad MD

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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.

Posted: 7/02/2008

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Name: 25-gauge Vitrectomy for Macular Hole Demonstrating ILM Peeling using Triesence Enhancement
Uploaded: 2008-07-02T11:19:00+00:00
Description: 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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25-gauge Vitrectomy for Macular Hole Demonstrating ILM Peeling using Triesence Enhancement

Daniel Kiernan MD, Seenu Hariprasad MD

Posted: 7/02/2008

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Comments

Seenu Hariprasad

15 years ago

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.

Stanislav Zhuk

16 years ago

how does one know that ILM is peeled and not ERM/hyaloid?

Nadav J Belfair

16 years ago

Thank you

Karunakar Tirmandas

16 years ago

Hi seenu

Seenu Hariprasad

16 years ago

Hi Karun: The 1123x forceps are custom made Synergetics 25g forceps.

Leonard Feiner

17 years ago

difference between triamcinolone and triessence? About $100 :)

Seenu Hariprasad

17 years ago

Hi Len: Thanks for the comment.... See my response to Piskulich.

Bhushan Khare

17 years ago

whats the forceps you have used ?

zlatko piskulich

17 years ago

whats the difference between triecense and triamcinolone?

25-gauge Vitrectomy for Macular Hole Demonstrating ILM Peeling using Triesence Enhancement

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25-gauge Vitrectomy for Macular Hole Demonstrating ILM Peeling using Triesence Enhancement

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