Severe retinal thermal injury after indocyanine green-mediated photothrombosis for central serous chorioretinopathy.
OBJECTIVE
To report severe retinal thermal damage after indocyanine green-mediated photothrombosis (IMP) for chronic central serous chorioretinopathy (CSC).


METHODS
Interventional case report.


METHODS
A 31-year-old white male underwent IMP for chronic CSC.


RESULTS
During the procedure, retinal whitening was observed in the area of the treatment spot. Fluorescein angiography revealed staining of the retinal arteries in the treated area. One year later, macular retinal pigment epithelial (RPE) changes were seen, accompanied by severe loss of vision.


CONCLUSIONS
IMP has been described as a relatively safe treatment option for persistent CSC. However, we herein report a case in which severe retinal damage occurred as a consequence of the treatment. We thus alert clinicians of this potential adverse event.
Penha
Fernando M
FM
Federal University of São Paulo, Department of Ophthalmology, Vision Institute (IPEPO), São Paulo--SP, Brazil. penhaepm@yahoo.com.br
Aggio
Fabio B
FB
Bonomo
Pedro P
PP
D000328:Adult; D002057:Burns, Chemical / Q000175:diagnosis / Q000209:etiology*; D015862:Choroid Diseases / Q000188:drug therapy; D002908:Chronic Disease; D004396:Coloring Agents / Q000009:adverse effects*; D005126:Eye Burns / Q000139:chemically induced* / Q000175:diagnosis; D005451:Fluorescein Angiography; D006801:Humans; D007208:Indocyanine Green / Q000009:adverse effects*; D008297:Male; D010778:Photochemotherapy / Q000009:adverse effects*; D012160:Retina / Q000293:injuries*; D012164:Retinal Diseases / Q000188:drug therapy*; D041623:Tomography, Optical Coherence
D004396:Coloring Agents; D007208:Indocyanine Green