RETINAL PIGMENT EPITHELIAL ATROPHY FOLLOWING INDOCYANINE GREEN DYE-ASSISTED SURGERY FOR SEROUS MACULAR DETACHMENT

Retinal pigment epithelial atrophy following indocyanine green dye-assisted surgery for serous macular detachment

Retinal pigment epithelial atrophy following indocyanine green dye-assisted surgery for serous macular detachment

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To report subretinal migration of indocyanine green dye (ICG) and On Camera Lighting subsequent retinal pigment epithelial (RPE) atrophy during macular surgery for serous macular detachment.A 65-year-old woman presented with residual epiretinal membrane and serous detachment of the macula following vitreoretinal surgery for epiretinal membrane.She underwent resurgery with ICG-assisted internal limiting membrane peeling and intraocular tamponade.Intraoperatively a large area of subretinal ICG was seen with subsequent RPE mottling and atrophy of the macula Diamond Drill in the area involved during follow-up.

This case demonstrates that subretinal migration of ICG is possible and can be toxic to RPE.

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