To report subretinal migration of indocyanine green dye (ICG) and subsequent retinal pigment epithelial (RPE) atrophy during macular surgery for serous Breast macular detachment.A 65-year-old woman presented with residual epiretinal membrane and serous detachment of the macula following vitreoretinal surgery for epiretinal membrane.She underwent resurgery with ICG-assisted internal limiting membrane peeling and intraocular tamponade.Intraoperatively a large area of subretinal ICG was seen with subsequent RPE mottling and atrophy of the macula Manicure Kit in the area involved during follow-up.
This case demonstrates that subretinal migration of ICG is possible and can be toxic to RPE.