Unintentional staining of the anterior vitreous with trypan blue during cataract surgery
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Date
2020
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Abstract
During phacoemulsification and intraocular lens (IOL) implantation surgery, the trypan blue dye used to stain the anterior capsule passed into vitreous cavity and stained the anterior capsule and anterior vitreous in 6 patients. There was history of trauma in 2 patients, uveitis in 1 patient, mature cataract in 1 patient, and no risk factors in the other patients. IOL was implanted in-the-bag without problem in 5 patients. In the patient with iris and zonular defects due to trauma, a sutured IOL was implanted in the same session. The migration of trypan blue into the vitreous cavity through damaged or intact lens zonules is a rare but important complication that makes subsequent surgical steps substantially more difficult. © 2020 by Turkish Ophthalmological Association Turkish Journal of Ophthalmology, published by Galenos Publishing House.
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Keywords
Adult , Aged , Cataract Extraction , Coloring Agents , Female , Humans , Intraoperative Period , Male , Middle Aged , Staining and Labeling , Trypan Blue , Visual Acuity , Vitreous Body , pilocarpine , trypan blue , coloring agent , trypan blue , adult , aged , anterior vitreous , Article , best corrected visual acuity , capsulorhexis , cataract , cataract extraction , clinical article , female , human , human tissue , injury , intraocular pressure , iris , laparotomy , male , ophthalmoscopy , phacoemulsification , postoperative complication , prospective study , pseudoexfoliation , risk assessment , risk factor , slit lamp microscopy , stain , trypan blue staining , visual acuity , vitreous body , case report , cataract extraction , diagnostic imaging , intraoperative period , middle aged , procedures , staining , visual acuity , vitreous body