You are here

Article Text

Article menu
Download PDFPDF
Letter
Retinal nerve fibre layer damage after indocyanine green assisted vitrectomy
  1. A Iriyama,
  2. Y Yanagi,
  3. S Uchida,
  4. Y Tamaki,
  5. M Aihara,
  6. R Obata,
  7. Y Inoue
  1. Department of Ophthalmology, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan
  1. Correspondence to: Yasuo Yanagi Department of Ophthalmology, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan; yanagi-tkyumin.ac.jp

https://doi.org/10.1136/bjo.2004.049999

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    Recently, indocyanine green (ICG) has been used to stain and visualise the internal limiting membrane (ILM) during vitrectomy.1 Some case series showed that visual field defects on the nasal side can occur after the surgery through unknown cause.2,3 Here, we report a case in which nasal visual field defects occurred after ICG assisted ILM peeling for epiretinal membrane (ERM). Detailed examination revealed that the superior and inferior retinal nerve fibre is severely damaged in this case.

    CASE REPORT

    A 60 year old woman who received ICG assisted ILM peeling for ERM in her right eye was referred to our hospital. The preoperative best corrected visual acuity (BCVA) was 20/60 in the right eye. According to the referring ophthalmologist, 25 mg of ICG (Diagnogreen; Daiichi Pharmaceuticals) was dissolved in 10 ml of distilled water, which was further diluted by a viscoelastic material (Healon; Pharmacia) to give 0.16% ICG solution. To stain ILM, ICG was injected into an air filled eye and the dye …

    View Full Text

    Footnotes

    • Competing interest: none.