Visualization of conjunctival cyst by indocyanine green.

Abstract

To report complete removal of conjunctival cyst using indocyanine green solution to facilitate visualization. Interventional case report. A 71-year-old woman referred with the diagnosis of severe conjunctival chemosis of her right eye of several months' duration was found to have a large conjunctival cyst. After informed consent was obtained, surgical resection of the cyst was performed. Under topical anesthesia, indocyanine green solution was injected through a 27-gauge needle into the conjunctival cyst. This achieved excellent visualization of the cyst outline and facilitated complete resection. During the resection, staining of the cyst wall remained despite a small perforation in the capsule, and complete resection was achieved without difficulty. Injection of indocyanine green solution into a conjunctival cyst may be used to facilitate visualization and aid in complete resection of the cyst wall.