Surgical Treatment of Overhanging Bleb Using Indocyanin Green Dye.

Jung, Jong Jin; Lee, Jung Jin; Kim, Hwang Ki; Sohn, Yong Ho

doi:2012.53.9.1364

J Korean Ophthalmol Soc > Volume 53(9); 2012 > Article

Case Report

Journal of the Korean Ophthalmological Society 2012;53(9):1364-1367.
DOI: https://doi.org/10.3341/jkos.2012.53.9.1364 Published online September 15, 2012.

Surgical Treatment of Overhanging Bleb Using Indocyanin Green Dye.

Jong Jin Jung, Jung Jin Lee, Hwang Ki Kim, Yong Ho Sohn

Myung-Gok Eye Research Institue, Department of Ophthalmology, Kim's Eye Hospital, Konyang University, Seoul, Korea. yhsohn@kimeye.com

인도시아닌그린 염색약을 이용한 여과포의 윤부각막 침입의 치료 1예

정종진⋅이정진⋅김황기⋅손용호

Myung-Gok Eye Research Institue, Department of Ophthalmology, Kim's Eye Hospital, Konyang University, Seoul, Korea

Abstract

PURPOSE
To report a case of overhanging bleb excision using Indocyanin green (ICG) dye. CASE SUMMARY: A 71-year-old man visited our clinic complaining of a white corneal foreign body in his left eye. The patient underwent mitomycin-assisted trabeculectomy surgery 8 years prior. Slit lamp examination revealed a large overhanging bleb. Because of its large size, surgical excision using ICG dye was performed. After excision surgery, the IOP was well controlled and no anterior chamber inflammation was observed. Two months later, the IOP was still stable at 11 mm Hg and no recurrence of the overhanging bleb was found. CONCLUSIONS: ICG dye is useful in delineating between a functioning bleb and a non-functioning overhanging bleb. ICG dye-assisted bleb excision is a useful method for decreasing complications such as aqueous humor leakage and damage of the original bleb.

Key Words: Indocyanin green dye;Overhanging bleb;Trabeculectomy