A simple way to prevent indocyanine green from entering the subretinal space during vitrectomy for retinal detachment due to myopic macular hole

To present a safe and simple method of preventing indocyanine green (ICG) from entering the subretinal space in patients undergoing vitrectomy for retinal detachment caused by myopic macular hole. Four consecutive highly myopic eyes (three phakic, one pseudophakic) with retinal detachment due to myo...

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Bibliographic Details
Published in:European journal of ophthalmology 2004-05, Vol.14 (3), p.269-271
Main Authors: Facino, M, Mochi, B, Lai, S, Terrile, R
Format: Article
Language:English
Subjects:
Coloring Agents
Drainage - methods
Fluorocarbons - administration & dosage
Humans
Indocyanine Green
Intraoperative Complications - prevention & control
Myopia - complications
Retinal Detachment - etiology
Retinal Detachment - surgery
Retinal Perforations - complications
Retinal Perforations - surgery
Safety
Vitrectomy - adverse effects
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Summary:To present a safe and simple method of preventing indocyanine green (ICG) from entering the subretinal space in patients undergoing vitrectomy for retinal detachment caused by myopic macular hole. Four consecutive highly myopic eyes (three phakic, one pseudophakic) with retinal detachment due to myopic macular hole were operated on by pars plana vitrectomy. The ICG-assisted peeling of the internal limiting membrane was performed after temporarily closing the macular hole by means of a small bubble of perfluorocarbon liquid (PFCL) in order to prevent ICG from entering the subretinal space. Retinal reattachment was successful in all patients, and anatomic closure of the macular hole occurred during the follow-up period (range 3 to 10 months). A small bubble of PFCL prevents ICG dye from entering the subretinal space during vitrectomy for retinal detachment due to macular hole in highly myopic eyes.
ISSN:1120-6721
1724-6016
DOI:10.1177/112067210401400314