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Vision threatening vitreous haemorrhage after internal limiting membrane peeling in macular surgeries
  1. A K H Kwok1,2,
  2. D Y L Leung1,
  3. C Hon1,
  4. D S C Lam1
  1. 1Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong Eye Hospital, Kowloon, Hong Kong, People’s Republic of China
  2. 2Department of Ophthalmology, Queen Mary Hospital, Hong Kong, People’s Republic of China
  1. Correspondence to: Dr Alvin K H Kwok, Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong Eye Hospital. 147K, Argyle Street, Kowloon, Hong Kong; kwokkh{at}ha.org.hk

https://doi.org/10.1136/bjo.86.12.1449

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    Indocyanine green (ICG) dye has been used to stain the retinal internal limiting membrane (ILM) and facilitate its removal in macular hole and epiretinal membrane (ERM) surgeries.1,2 In our previous study, removal of ICG stained ILM around idiopathic macular hole was confirmed with histology.1 Here we report two (3.6%) cases of vision threatening vitreous haemorrhage out of 55 prospective consecutive cases operated by one of the authors (AKHK) with ICG assisted ILM removal in macular hole and ERM surgeries.

    Case 1

    A 73 year old woman with essential hypertension presented with moderate cataract and a chronic stage 4 macular hole of 500 μm in the right eye; and cataract and stage 2 …

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