Comparison of dyes for cataract surgery. Part 1: cytotoxicity to corneal endothelial cells in a rabbit model.
OBJECTIVE
To investigate the corneal endothelial cytotoxicity of dyes for capsule staining in cataract surgery.


METHODS
Department of Ophthalmology and Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan.


METHODS
Cultured corneal endothelial cells of New Zealand white rabbits were exposed for 1 minute to 1 of the following dyes (various concentrations): indocyanine green (ICG), methylene blue (MB), gentian violet (GV), trypan blue (TB), and fluorescein sodium (FS). The degree of cell damage was determined by in vitro staining with TB and comparison with results in a control group. The effect of longer exposure (up to 10 minutes) to ICG 0.25% was also investigated. Structural changes in corneal endothelial cells after dye exposure were evaluated by light microscopy and transmission electron microscopy (TEM).


RESULTS
Indocyanine green 0.25%, MB 0.20%, GV 0.01%, TB 0.40%, and FS 10% did not induce significant damage to corneal endothelial cells. Significant cytotoxicity was observed with the following or higher dye concentrations: ICG 0.50%, MB 0.50%, and GV 0.10%. Exposure to ICG 0.25% for 1 to 10 minutes showed a trend toward cytotoxicity after 10 minutes. On TEM, corneal endothelial cells that had been exposed to ICG 0.50% showed remarkable organelle swelling and disruption, electron-dense granules, and cell lysis.


CONCLUSIONS
One minute of exposure to ICG 0.25%, MB 0.20%, GV 0.01%, TB 0.40%, and FS 10% appeared to be safe as determined by no cytotoxic effects on rabbit corneal endothelial cells in culture.
Chang
Yi-Sheng
YS
Department of Ophthalmology, and the Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Tseng
Shih-Ya
SY
Tseng
Sung-Huei
SH
Chen
Ying-Ting
YT
Hsiao
Jing-Hsing
JH
D000818:Animals; D002387:Cataract Extraction; D002470:Cell Survival; D002478:Cells, Cultured; D004396:Coloring Agents / Q000633:toxicity*; D004728:Endothelium, Corneal / Q000187:drug effects* / Q000473:pathology / Q000648:ultrastructure; D019793:Fluorescein / Q000633:toxicity*; D005840:Gentian Violet / Q000633:toxicity*; D007208:Indocyanine Green / Q000633:toxicity*; D008751:Methylene Blue / Q000633:toxicity*; D023421:Models, Animal; D009883:Ophthalmic Solutions / Q000633:toxicity; D011817:Rabbits; D012449:Safety; D013997:Time Factors; D014343:Trypan Blue / Q000633:toxicity*
D004396:Coloring Agents; D009883:Ophthalmic Solutions; D014343:Trypan Blue; D007208:Indocyanine Green; D005840:Gentian Violet; D008751:Methylene Blue; D019793:Fluorescein