Rinsho Ganka Volume 57, Issue 5 (May 2003)

A case of acquired blue-yellow deficiency after vitreous surgery for macular hole with peeling of epiretinal membrane Tomoko Kohno 1 , Kaoru Nakamura 1 , Kaori Yamamoto 1 , Chie Kohno 1 , Sadao Hori 1 1Dept of Ophthalmol,Tokyo Women's Medical Univ Sch of Med pp.804-808
Published Date 2003/5/15
DOI https://doi.org/10.11477/mf.1410101245
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Abstract. Purpose:To describe a case who developed blue-yellow color deficiency after vitreous surgery for macular hole. Case:A 49-year-old female noted progressive metamorphopsia in her right eye since 3 years before. She was diagnosed with macular hole and received vitreous surgery with peeling of epiretinal membrane. Staining with indocyanine green(ICG)was used to stain the internal limiting membrane(ILM)and ILM was removed. Metamorphopsia subsided after surgery and the visual acuity remained at 20/20. The patient started to complain disturbed color vision. Findings:Various tests showed blue-yellow color deficiency persisting during the follow-up of one year after surgery. Conclusion:There is a possibility that the blue-yellow deficiency was induced by trauma to the ILM,toxicity of ICG,or personal weakness of blue cone system. Due attention is necessary for this type of complication in vitreous surgery for macular hole with adjunctive use of ICG.

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57巻5号 (2003年5月)
電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院