Endoilluminator phototoxic maculopathy associated with combined ICG-assisted epiretinal membrane and internal limiting membrane peeling

Yoshihiro Yonekawa, Ashkan M. Abbey, Ankoor Shah, Benjamin Thomas, Antonio Capone

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

Phototoxic maculopathy caused by endoillumination during macular surgery is uncommon. Previously identified risk factors have included intensity of the light source, proximity to the retinal surface, and length of exposure. In the era of indocyanine green (ICG)-assisted internal limiting membrane (ILM) peeling, the use of ICG, and the technique of ILM peeling may both contribute to subsequent phototoxic maculopathy. We present cases of routine chromovitrectomy who developed phototoxic maculopathy in the precise discrete distribution of the ILM rhexes, and discuss potential mechanisms and implications.

Original languageEnglish (US)
Pages (from-to)2501-2506
Number of pages6
JournalClinical Ophthalmology
Volume8
DOIs
StatePublished - Dec 9 2014

Keywords

  • ERM
  • ILM peeling
  • Indocyanine green
  • Vitrectomy

ASJC Scopus subject areas

  • Ophthalmology

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