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Type: Journal article
Title: Indocyanine green assisted removal of orbital lacrimal duct cysts in children
Author: Keren, S.
Dotan, G.
Leibovitch, L.
Selva, D.
Leibovitch, I.
Citation: Journal of Ophthalmology, 2015; 2015:130215-1-130215-5
Publisher: Hindawi Publishing Corporation
Issue Date: 2015
ISSN: 2090-004X
Statement of
Shay Keren, Gad Dotan, Leah Leibovitch, Dinesh Selva, and Igal Leibovitch
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.
Rights: Copyright © 2015 Shay Keren et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
RMID: 0030023899
DOI: 10.1155/2015/130215
Appears in Collections:Opthalmology & Visual Sciences publications

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