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KMID : 1151620170020010042
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Journal of Retina
2017 Volume.2 No. 1 p.42 ~ p.44
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Irreversible Damage to the Fovea in Indocyanine Green-assisted Internal Limiting Membrane Peeling
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Hwang Duck-Jin
Son Gi-Sung
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Abstract
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Purpose: To report a case of irreversible damage to the fovea following indocyanine green (ICG)-assisted internal limiting membrane (ILM) peeling.
Case summary: A 77-year-old man with an epiretinal membrane on his right eye received pars plana vitrectomy followed by ILM peeling. After ILM peeling, ICG dye was applied to identify any remnant ILM tissue. Immediately after, the ILM-peeled macular area exhibited a green color with an oval shape and the pigmentation persisted despite several attempts to wash the area with a balanced salt solution. Fundus photography and spectral domain optical coherence tomography revealed obvious macular coloration and outer retinal disruption, respectively. Visual acuity, which was 20/100 preoperatively, dropped to around 20/500 postoperatively, failing to show remarkable improvement over a follow-up period of 4 years.
Conclusions: The application of ICG on the bare retina caused irreversible damage. ICG dye should be used with caution.
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KEYWORD
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Indocyanine green, Internal limiting membrane peeling, Vitrectomy
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