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.
Birchall W, Raynor MK, Turner GS. 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
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