Abstract
To describe the retention of a viscoelastic agent as a possible cause of failed macular hole surgery. Three consecutive patients underwent macular hole surgery. A bubble of viscoelastic agent was used to prevent contact between indocyanine green dye and retinal pigment epithelium cells. Macular hole repair failed in all three cases. After a second surgery the holes closed successfully. The use of a dispersive viscoelastic agent to avoid indocyanine green toxicity in macular hole surgery may prevent the closure of the hole.
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