Unintentional Staining of the Anterior Vitreous with Trypan Blue During Cataract Surgery

• Main Authors: Özcan Rasim Kayıkçıoğlu, Hüseyin Mayalı, Suzan Doğruya, Şenay Alp, Aydın Alper Yılmazlar, Emin Kurt
• Format: Article
• Language: English
• Published: Galenos Yayinevi 2020-10-01
• Series: Türk Oftalmoloji Dergisi
• Subjects: trypan blue; phacoemulsification; vitreous
• Online Access: http://www.oftalmoloji.org/archives/archive-detail/article-preview/unintentional-staining-of-the-anterior-vitreous-wi/41739
• ISSN: 1300-0659; 2147-2661

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.