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Inadvertent Staining of the Posterior Lens Capsule With Trypan Blue Dye During Phacoemulsification
Wayne Birchall, FRCOphth;
Matthew K. Raynor, FRCSE;
George S. Turner, FRCOphth
Royal Eye Hospital
Oxford Road
Manchester M13 9WH, England
Arch Ophthalmol. 2001;119:1082.
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A 74-YEAR-OLD myopic man rapidly developed a white mature cataract after
vitrectomy surgery for a rhegmatogenous retinal detachment associated with
a macular hole. He underwent uncomplicated right phacoemulsification cataract
extraction with placement of a posterior chamber, foldable acrylic intraocular
lens (AcrySof MA30BA; Alcon Laboratories, Fort Worth, Tex) in the capsular
bag, with 0.1% trypan blue (VisionBlue; DORC International, Zuidland, the
Netherlands) being used to stain the anterior lens capsule and facilitate
capsulorrhexis. About 0.1 mL of the dye was applied to the anterior capsule
beneath a previously injected air bubble to concentrate the dye over the anterior
capsule, with 10 seconds' contact time.
The cataract was removed by phacoemulsification, using a phaco-chop,
nonsculpting technique followed by aspiration of minimal residual cortex.
At completion of surgery, the absence of a red reflex was noted. Indirect
ophthalmoscopy was difficult, but a . . . [Full Text of this Article]
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Cystoid macular oedema with trypan blue use
Gouws et al.
Br. J. Ophthalmol. 2004;88:1348-1349.
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