Macular toxicity following brilliant blue G-assisted macular hole surgery – a report of three cases

  • Animesh Jindal GMRV Campus, Visakhapatnam, L V Prasad Eye Institutes
  • Avinash Pathengay GMRV Campus, Visakhapatnam, L V Prasad Eye Institutes
  • Kopal Mithal GMRV Campus, Visakhapatnam, L V Prasad Eye Institutes
  • Jay Chhablani KAR Campus, Hyderabad, L V Prasad Eye Institutes
  • Rajeev Reddy Pappuru KAR Campus, Hyderabad, L V Prasad Eye Institutes
  • Harry W Flynn Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami
Keywords: Brilliant blue G, macular hole, macular toxicity, hyperpigmentation

Abstract

Introduction: Brilliant blue G is a new dye used for staining the internal limiting membrane to ease its peeling in cases like a macular hole.

Cases: Three patients presented with full-thickness idiopathic macular hole. They underwent pars planavitrectomy, Brilliant Blue G (BBG) stained internal limiting membrane peeling and fluid gas exchange.

Observations: Postoperatively,the macular hole closed but foveal thinning and perifoveal hyperpigmentation presumably due to BBG toxicity were observed in all three patients. All of them had a subnormal final best corrected visual acuity.

Conclusion:This case series highlights the unusual occurrence of macular toxicity following brillantblue G-assisted macular hole surgery.

DOI: http://dx.doi.org/10.3126/nepjoph.v6i1.10779  

Nepal J Ophthalmol 2014; 6 (2): 98-101

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Abstract
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Published
2014-07-22
How to Cite
Jindal, A., Pathengay, A., Mithal, K., Chhablani, J., Pappuru, R., & Flynn, H. (2014). Macular toxicity following brilliant blue G-assisted macular hole surgery – a report of three cases. Nepalese Journal of Ophthalmology, 6(1), 98-101. https://doi.org/10.3126/nepjoph.v6i1.10779
Section
Case Reports