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

Authors Yonekawa Y, Abbey A, Shah A, Thomas B, Capone Jr A

Received 9 October 2014

Accepted for publication 5 November 2014

Published 9 December 2014 Volume 2014:8 Pages 2501—2506

DOI https://doi.org/10.2147/OPTH.S75592

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser


Yoshihiro Yonekawa, Ashkan M Abbey, Ankoor R Shah, Benjamin J Thomas, Antonio Capone Jr

Associated Retinal Consultants, Department of Ophthalmology, William Beaumont Hospital, Royal Oak, MI, USA

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.

Keywords: ILM peeling, indocyanine green, vitrectomy, ERM

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