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 rubbermaid 8 gallon trash can 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 read more with subsequent RPE mottling and atrophy of the macula in the area involved during follow-up.This case demonstrates that subretinal migration of ICG is possible and can be toxic to RPE.