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Macular toxicity of vital dye after pars plana vitrectomy for idiopathic epiretinal membrane: A case report

PURPOSE: To describe the first reported case of outer retinal damage following the use of Membrane Blue Dual for epiretinal membrane (ERM) surgery. OBSERVATIONS: A 74-year-old female underwent pars plana vitrectomy and ERM peeling assisted with Membrane Blue Dual for an idiopathic ERM. Postoperative...

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Detalles Bibliográficos
Autores principales: Torres-Villaros, Héloïse, Louis-Philippe, Steven, Amari, Fatima, Giocanti-Aurégan, Audrey, Janicot, Lucie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9142655/
https://www.ncbi.nlm.nih.gov/pubmed/35637750
http://dx.doi.org/10.1016/j.ajoc.2022.101588
Descripción
Sumario:PURPOSE: To describe the first reported case of outer retinal damage following the use of Membrane Blue Dual for epiretinal membrane (ERM) surgery. OBSERVATIONS: A 74-year-old female underwent pars plana vitrectomy and ERM peeling assisted with Membrane Blue Dual for an idiopathic ERM. Postoperatively, the patient reported a decline in visual acuity with a central scotoma. Fundus examination revealed a well-defined retinal whitening in the peeling area which evolved into pigmentary changes as confirmed by fundus autofluorescence. Optical coherence tomography (OCT) showed loss of outer retinal layers and irregular mottling of the retinal pigment epithelium. Fundus and OCT appearance remained unchanged after 4 months and the central scotoma also persisted. CONCLUSIONS AND IMPORTANCE: ERM surgery assisted with Membrane Blue Dual can induce major changes in retinal pigment epithelium and outer retinal layers. This adverse event which probably results from combined light and dye toxicity should be considered by all surgeons even though its occurrence is rare.