[Unintentional staining of lens posterior capsule with trypan blue during extracapsular cataract extraction: case report].
Report of a complication related to the use of 0.1% trypan blue during capsular staining of the anterior crystalline lens capsule in an extracapsular cataract extraction with intraocular lens implantation. The capsular dye was injected using an air-bubble technique, inadvertently, it was done using high pressure dispersing the dye through the zonules leading to a complete lost of red reflex, the following steps of the procedure becoming more difficult after the cataract extraction and causing a temporary disturbance of visual acuity in the postoperative period. In order to avoid this complication, the authors also describe the use of "Modified air-bubble technique" where dispersive viscoelastic is placed into the iridolenticular space 360 degrees to create a protection barrier.
Universidade Federal de São Paulo, São Paulo, SP, Brazil. fredani2010@terra.com.br
Frederico França
FF
Marques
Fábio Medaglia
FM
Soccol
Daniela M V
DM
Marques
José Ricardo C L
JR
Rehder
D000328:Adult; D002387:Cataract Extraction / Q000009:adverse effects* / Q000379:methods; D004396:Coloring Agents / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D007431:Intraoperative Complications / Q000139:chemically induced; D019654:Lens Implantation, Intraocular; D008297:Male; D008508:Medication Errors; D013194:Staining and Labeling / Q000379:methods*; D014343:Trypan Blue / Q000008:administration & dosage / Q000009:adverse effects*; D014792:Visual Acuity
D004396:Coloring Agents; D014343:Trypan Blue