Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online: 2111
  • Home
  • Print this page
  • Email this page

   Table of Contents      
LETTER TO THE EDITOR
Year : 2009  |  Volume : 57  |  Issue : 4  |  Page : 326-327

Retinal pigment epithelium atrophy following indocyanine green dye-assisted surgery for serous macular detachment


Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi, India

Date of Web Publication30-Jun-2009

Correspondence Address:
Vinod Kumar
9/2 Punjabi Bagh Ext, New Delhi - 110 026
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.53069

Rights and Permissions

How to cite this article:
Kumar V, Ghosh B, Thakar M, Goel N. Retinal pigment epithelium atrophy following indocyanine green dye-assisted surgery for serous macular detachment. Indian J Ophthalmol 2009;57:326-7

How to cite this URL:
Kumar V, Ghosh B, Thakar M, Goel N. Retinal pigment epithelium atrophy following indocyanine green dye-assisted surgery for serous macular detachment. Indian J Ophthalmol [serial online] 2009 [cited 2020 Jul 2];57:326-7. Available from: http://www.ijo.in/text.asp?2009/57/4/326/53069

Dear Editor,

We read with interest the article 'Retinal pigment epithelial atrophy following indocyanine green dye-assisted surgery for serous macular detachment' by Hussain et al. [1] It is indeed interesting to note the subretinal migration of indocyanine green dye (ICG) dye without any clinical and optical coherence tomographic evidence of macular hole.

When fluid-air exchange is done during vitreo-retinal surgery, as the air fills the vitreous cavity, the fluid collects at the posterior pole which can be aspirated out. Fluid, if present in the subretinal space requires a retinotomy to aspirate it. The authors mention in the case report that the macula flattened following fluid-air exchange. Whether a retinotomy was made in this case, or the fluid was aspirated from the foveal area is not clear from the article. Flattening of macula without making a retinotomy, points towards the presence of a hole.

Secondly, the rationale of silicon oil injection is not very clear in this case. The occurrence of macular pucker after surgery for retinal detachments complicated by severe proliferative vitreo-retinopathy has not shown to be influenced by the choice of intraocular tamponade in the Silicon Oil Study. [2] In fact, a second surgery could have been avoided by using a long-acting gas instead. Also, C3F8 gas has been found to be a more effective tamponade than silicone oil with respect to achieving initial closure of macular holes in a study by Lai et al . [3]



 
  References Top

1.
Hussain N, Jalali S, Rani A, Rawal H. Retinal pigment epithelial atrophy following indocyanine green dye-assisted surgery for serous macular detachment. Indian J Ophthalmol 2008;56:326-27.  Back to cited text no. 1
    
2.
Cox MS, Azen SP, Barr CC, Linton KL, Diddie KR, Lai MY, et al . Macular pucker after successful surgery for proliferative vitreoretinopathy Silicone Study Report 8. Ophthalmology 1995;102:1884-91.  Back to cited text no. 2
[PUBMED]    
3.
Lai JC, Stinnett SS, McCuen BW. Comparison of silicone oil versus gas tamponade in the treatment of idiopathic full-thickness macular hole. Ophthalmology 2003;110:1170-4.  Back to cited text no. 3
[PUBMED]  [FULLTEXT]  



This article has been cited by
1 Retinal pigment epithelium atrophy following indocyanine green dye-assisted surgery for serous macular detachment
Kumar, V., Ghosh, B., Thakar, M., Goel, N.
Indian Journal of Ophthalmology. 2009; 57(4): 326-327
[Pubmed]
2 Authors reply
Hussain, N., Jalali, S., Rani, A., Rawal, H.
Indian Journal of Ophthalmology. 2009; 57(4): 327
[Pubmed]



 

Top
 
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
References

 Article Access Statistics
    Viewed1403    
    Printed40    
    Emailed0    
    PDF Downloaded242    
    Comments [Add]    
    Cited by others 2    

Recommend this journal