title: Indocyanine green assisted removal of orbital lacrimal duct cysts in children.
abstract: Aim. To report on the use of indocyanine green (ICG) during surgical removal of pediatric orbital lacrimal duct cysts. Method. We conducted a retrospective review of our cases of surgical excision of orbital lacrimal duct cysts using intraoperative injection of indocyanine green (ICG), which was used following inadvertent cyst rupture and volume loss. The dye allowed complete cyst visualization and complete excision despite volume loss or cyst rupture. Results. The study included 6 children (3 boys, mean age of 4.2 ± 0.84 years, range 3-5 years). Mean follow-up period was 9.3 months. All cysts were located in the inferonasal quadrant of the orbit (4 in the right side). In all cases, ICG was injected into the cyst at the time of surgery following unintentional cyst rupture. After the dye injection, it was easy to identify the borders of the cyst, permitting complete cyst removal, without any intra- or postoperative complications. Pathological examination revealed that all cysts were of lacrimal duct origin. Conclusion. Intraoperative injection of ICG into orbital cysts in children can aid surgeons in identifying cyst borders following inadvertent rupture, allowing complete removal.
authors: Oculoplastic and Orbital Institute and Department of Ophthalmology, Tel Aviv Medical Center, 64239 Tel Aviv, Israel ; The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors: Shay
authors: S
authors: Keren
authors: Oculoplastic and Orbital Institute and Department of Ophthalmology, Tel Aviv Medical Center, 64239 Tel Aviv, Israel ; The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors: Gad
authors: 0000-0002-1187-2467
authors: G
authors: Dotan
authors: The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel ; Department of Neonatology, The Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Ramat Gan, Israel.
authors: Leah
authors: L
authors: Leibovitch
authors: South Australian Institute of Ophthalmology, Royal Adelaide Hospital, University of Adelaide, Adelaide, SA, Australia.
authors: Dinesh
authors: 0000-0002-2169-5417
authors: D
authors: Selva
authors: Oculoplastic and Orbital Institute and Department of Ophthalmology, Tel Aviv Medical Center, 64239 Tel Aviv, Israel ; The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors: Igal
authors: I
authors: Leibovitch
references: Ophthalmologica. 2001 Jul-Aug;215(4):318-20
references: 11399942
references: Ophthalmic Surg Lasers Imaging. 2010 Mar 09;:1-3
references: 20337359
references: Ophthalmology. 1987 Jun;94(6):706-8
references: 3627720
references: Jpn J Ophthalmol. 2009 May;53(3):270-1
references: 19484448
references: Ophthalmic Surg Lasers Imaging. 2007 Jan-Feb;38(1):81-3
references: 17278544
references: Am J Ophthalmol. 2002 Jun;133(6):827-8
references: 12036678
references: Ophthalmology. 1986 Oct;93(10 ):1355-60
references: 3785895
references: Surv Ophthalmol. 2009 Sep-Oct;54(5):576-617
references: 19682624
references: Surv Ophthalmol. 1986 Jan-Feb;30(4):245-50
references: 3952646
references: Semin Ophthalmol. 2006 Jul-Sep;21(3):207-11
references: 16912019
references: Ophthal Plast Reconstr Surg. 1994 Sep;10 (3):169-84
references: 7947444
references: Cornea. 2005 Aug;24(6):759-60
references: 16015101