Drug updated on 4/18/2024
| Dosage Form | Injection (intraocular: 0.025%) |
| Drug Class | Disclosing agents |
| Ongoing and Completed Studies | ClinicalTrials.gov |
Indication
- Indicated to selectively stain the internal limiting membrane (ILM).
Summary
- Brilliant Blue G Ophthalmic Solution (TissueBlue) is indicated for the selective staining of the internal limiting membrane (ILM). It has been found to be more effective than indocyanine green (ICG) in improving postoperative best-corrected visual acuity and primary macular hole closure rates, with a higher safety profile.
- Four systematic reviews/meta-analyses compared the efficacy and safety of TissueBlue to other chromovitrectomy dyes such as ICG, trypan blue (TB), and triamcinolone acetonide (TA).
- Comparisons of TissueBlue with TB showed promising outcomes in the closure rates of idiopathic macular holes (IMH) and in improving postoperative visual acuity. Initial analyses suggest that TissueBlue provides comparable or slightly superior effectiveness while maintaining a good safety profile.
- Compared to TA, TissueBlue was ranked highest or nearly highest for postoperative BCVA (Best Corrected Visual Acuity) improvements and macular hole closure rates, indicating its superiority over TA in terms of overall efficacy.
- The studies covered a wide range of IMH stages (II - IV). Certain studies emphasized the technique of applying these dyes, which could influence their comparative effectiveness. This suggests broad applicability but also indicates that further research might be needed on how the use of TissueBlue can optimize outcomes within specific patient subgroups.
- The duration of follow-up varied across studies from 3 months up to 12 months, suggesting that long-term safety and efficacy considerations are essential.
Product Monograph / Prescribing Information
| Document Title | Year | Source |
|---|---|---|
| TissueBlue (Brilliant Blue G Ophthalmic Solution) Prescribing Information. | 2019 | Dutch Ophthalmic USA, Exeter, NH |
Systematic Reviews / Meta-Analyses
| Document Title | Year | Source |
|---|---|---|
| Efficacy of different doses of dye-assisted internal limiting membrane peeling in idiopathic macular hole: a systematic review and network meta-analysis. | 2021 | International Journal of Ophthalmology |
| Inverted ILM flap technique versus conventional ILM peeling for idiopathic large macular holes: a meta-analysis of randomized controlled trials. | 2020 | PLOS One |
| Outcomes of 4 surgical adjuvants used for internal limiting membrane peeling in macular hole surgery: a systematic review and network Meta-analysis. | 2020 | International Journal of Ophthalmology |
| Internal limiting membrane peeling with different dyes in the surgery of idiopathic macular hole: a systematic review of literature and network meta-analysis. | 2019 | International Journal of Ophthalmology |