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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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