Presumed Combined Brilliant Blue G and Endolight-Induced Macular Damage following Epiretinal Membrane Removal Surgery.

IF 1.2 Q3 OPHTHALMOLOGY

Journal of Current Ophthalmology Pub Date : 2022-07-26 eCollection Date: 2022-04-01 DOI:10.4103/joco.joco_46_22

Ramesh Venkatesh, Aditi Gupta, Naresh Kumar Yadav, Jay Chhablani

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引用次数: 4

Abstract

Purpose: To report a rare case of macular outer retinal and retinal pigment epithelium (RPE) damage following brilliant blue G (BBG)-assisted epiretinal membrane (ERM) removal surgery.

Methods: Retrospective, observational case report.

Results: An 85-year-old lady presented with decreased vision in the left eye and a best-corrected visual acuity of 20/400. The right eye examination was within normal limits. The left eye had a significant cataract, and the fundus examination through the cataractous haze showed an ERM with macular pucker, which was confirmed on an optical coherence tomography (OCT) scan. A combined cataract surgery with intraocular lens implantation and BBG-assisted ERM removal and internal limiting membrane peeling surgery was performed. Over the subsequent visits, a well-defined area of outer retinal and RPE alteration was identified on OCT and fundus autofluorescence without significant improvement in visual acuity. At the last follow-up visit, the visual acuity minimally improved to 20/200.

Conclusions: Macular toxicity due to repeated usage of BBG dye and high intensity focal endo-illumination may lead to poor visual outcome following ERM removal or similar macular surgeries. Adequate precautions need to be taken to prevent vision loss.

Abstract Image

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视网膜外膜去除手术后可能合并亮蓝G和内光诱导的黄斑损伤。

目的:报告一例罕见的黄斑外视网膜及视网膜色素上皮(RPE)损伤后，亮蓝G (BBG)辅助视网膜前膜(ERM)去除手术。方法:回顾性、观察性病例报告。结果:一位85岁的女性，左眼视力下降，最佳矫正视力为20/400。右眼检查正常。左眼有明显的白内障，通过白内障薄雾检查眼底显示ERM伴黄斑皱，光学相干断层扫描(OCT)证实。行人工晶状体植入术联合血脑球蛋白辅助ERM摘除及内限制膜剥离手术。在随后的随访中，在OCT和眼底自身荧光上发现了一个明确的外视网膜和RPE改变区域，但视力没有明显改善。最后一次随访时，视力最低改善至20/200。结论:反复使用BBG染料和高强度聚焦内照度引起的黄斑毒性可能导致ERM切除或类似黄斑手术后视力不佳。需要采取适当的预防措施来防止视力丧失。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Current Ophthalmology OPHTHALMOLOGY-

CiteScore

2.50

自引率

6.70%

发文量

审稿时长

8 weeks

期刊介绍： Peer Review under the responsibility of Iranian Society of Ophthalmology Journal of Current Ophthalmology, the official publication of the Iranian Society of Ophthalmology, is a peer-reviewed, open-access, scientific journal that welcomes high quality original articles related to vision science and all fields of ophthalmology. Journal of Current Ophthalmology is the continuum of Iranian Journal of Ophthalmology published since 1969.