Charbel Issa Peter, Kruse Kathrin, Holz Frank G
Department of Ophthalmology, University of Bonn, Ernst-Abbe-Str. 2, 53127 Bonn, Germany.
Ophthalmic Surg Lasers Imaging. 2011;42 Online. doi: 10.3928/15428877-20100215-84.
Indocyanine green (ICG) and fluorescein dyes were inadvertently injected into an antecubital artery during angiography. Apart from a slightly longer arm to retina time, ICG angiography was uneventful. In contrast, intra-arterial injection of fluorescein resulted in a dramatic yellowish discoloration of the arm distal to the injection site that was combined with stinging pain. Fluorescence of both dyes in the forearm could be recorded using a confocal scanning laser ophthalmoscope. The angiographic retinal image quality appeared normal. After about 5 hours, the skin discoloration had disappeared and there were no late complications.
