Abstract
Background
We report the use of an indocyanine green (ICG) injection during the safe removal of an overhanging filtering bleb after trabeculectomy.
Case
A 63-year-old man with a history of trabeculectomy 5 years previously in his left eye complained of foreign body sensation in this eye and decreased vision from induced astigmatism. Slit-lamp examination revealed an expanding overhanging filtering bleb on the cornea.
Observations
With a 30-G needle, 0.25% ICG was injected into the overhanging bleb. Use of ICG visualization of the inner space of the overhanging filtering bleb provided visualization of the border with the original bleb, allowing for safe excision of the overhanging filtering bleb without injury to the thin surface of the original bleb.
Conclusion
Injection of ICG into an overhanging filtering bleb during excision can be useful in the prevention of damage to the original bleb. Jpn J Ophthalmol 2007;51:57–59 © Japanese Ophthalmological Society 2007
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
HG Scheie JJ Guehl (1979) ArticleTitleSurgical management of overhanging blebs after filtering procedures Arch Ophthalmol 97 325–326 Occurrence Handle550808 Occurrence Handle1:STN:280:Bi%2BB28vnvVE%3D
IM Lanzl LJ Katz RL Shindler GL Spaeth (1999) ArticleTitleSurgical management of the symptomatic overhanging filtering bleb J Glaucoma 8 247–249 Occurrence Handle10464733 Occurrence Handle10.1097/00061198-199908000-00006 Occurrence Handle1:STN:280:DyaK1Mzptl2quw%3D%3D
A Kobayashi A Saeki A Nishimura et al. (2002) ArticleTitleVisualization of conjunctival cyst by indocyanine green Am J Ophthalmol 133 827–828 Occurrence Handle12036678 Occurrence Handle10.1016/S0002-9394(02)01416-2
M Horiguchi K Miyake I Ohta Y Ito (1998) ArticleTitleStaining of the lens capsule for circular continuous capsulorrhexis in eyes with white cataract Arch Ophthalmol 116 535–537 Occurrence Handle9565058 Occurrence Handle1:STN:280:DyaK1c3isVOhuw%3D%3D
K Kadonosono N Itoh E Uchio S Nakamura S Ohno (2000) ArticleTitleStaining of internal limiting membrane in macular hole surgery Arch Ophthalmol 118 1116–1118 Occurrence Handle10922208 Occurrence Handle1:STN:280:DC%2BD3cvgtVCitQ%3D%3D
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Ito, K., Miura, K., Sugimoto, K. et al. Use of Indocyanine Green During Excision of an Overhanging Filtering Bleb. Jpn J Ophthalmol 51, 57–59 (2007). https://doi.org/10.1007/s10384-006-0364-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10384-006-0364-7