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Photo Essay
July 2001

Inadvertent Staining of the Posterior Lens Capsule With Trypan Blue Dye During Phacoemulsification

Arch Ophthalmol. 2001;119(7):1082-1083. doi:10.1001/archopht.119.7.1082

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.