Indocyanine Green Assisted Removal of Orbital Lacrimal Duct Cysts in Children

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 use...

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Main Authors: Shay Keren, Gad Dotan, Leah Leibovitch, Dinesh Selva, Igal Leibovitch
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2015/130215
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author Shay Keren
Gad Dotan
Leah Leibovitch
Dinesh Selva
Igal Leibovitch
author_facet Shay Keren
Gad Dotan
Leah Leibovitch
Dinesh Selva
Igal Leibovitch
author_sort Shay Keren
collection DOAJ
description 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.
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spelling doaj-art-deba2f93f8da492293693422e6e494532025-08-20T02:21:21ZengWileyJournal of Ophthalmology2090-004X2090-00582015-01-01201510.1155/2015/130215130215Indocyanine Green Assisted Removal of Orbital Lacrimal Duct Cysts in ChildrenShay Keren0Gad Dotan1Leah Leibovitch2Dinesh Selva3Igal Leibovitch4Oculoplastic and Orbital Institute and Department of Ophthalmology, Tel Aviv Medical Center, 64239 Tel Aviv, IsraelOculoplastic and Orbital Institute and Department of Ophthalmology, Tel Aviv Medical Center, 64239 Tel Aviv, IsraelThe Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, IsraelSouth Australian Institute of Ophthalmology, Royal Adelaide Hospital, University of Adelaide, Adelaide, SA, AustraliaOculoplastic and Orbital Institute and Department of Ophthalmology, Tel Aviv Medical Center, 64239 Tel Aviv, IsraelAim. 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.http://dx.doi.org/10.1155/2015/130215
spellingShingle Shay Keren
Gad Dotan
Leah Leibovitch
Dinesh Selva
Igal Leibovitch
Indocyanine Green Assisted Removal of Orbital Lacrimal Duct Cysts in Children
Journal of Ophthalmology
title Indocyanine Green Assisted Removal of Orbital Lacrimal Duct Cysts in Children
title_full Indocyanine Green Assisted Removal of Orbital Lacrimal Duct Cysts in Children
title_fullStr Indocyanine Green Assisted Removal of Orbital Lacrimal Duct Cysts in Children
title_full_unstemmed Indocyanine Green Assisted Removal of Orbital Lacrimal Duct Cysts in Children
title_short Indocyanine Green Assisted Removal of Orbital Lacrimal Duct Cysts in Children
title_sort indocyanine green assisted removal of orbital lacrimal duct cysts in children
url http://dx.doi.org/10.1155/2015/130215
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AT leahleibovitch indocyaninegreenassistedremovaloforbitallacrimalductcystsinchildren
AT dineshselva indocyaninegreenassistedremovaloforbitallacrimalductcystsinchildren
AT igalleibovitch indocyaninegreenassistedremovaloforbitallacrimalductcystsinchildren