Trypan-blue-assisted anterior continuous curvilinear capsulorhexis in a case of ocular pemphigoid.
OBJECTIVE
To report on trypan-blue-assisted anterior continuous curvilinear capsulorhexis (ACCC) in a case of ocular pemphigoid.


METHODS
Interventional case report.


RESULTS
Due to the reduced visibility especially in the corneal periphery caused by the ocular pemphigoid, trypan blue 0,06% (Acri.Blue) was used to stain the anterior capsule of the lens. Then anterior continuous curvilinear capsulorhexis was performed. Due to the blue staining, the visualization of the margin of the rhexis was always good and phacoemulsification procedure was successfully performed afterwards. During the follow-up period of 12-months-postsurgically, no exacerbation of the ocular pemphigoid occurred.


CONCLUSIONS
The use of trypan blue staining of the anterior capsule enabled the surgeon to perform a safe anterior continuous curvilinear capsulorhexis and a subsequent phacoemulsification in ocular pemphigoid. No progression of the ocular pemphigoid was seen within the 12-months-post-surgery period.
Kuchenbecker
Jörn
J
Eye Hospital, Helios Hospitals Berlin Buch, Karower Strasse 11, D-13125 Berlin, Germany. jkuchenbecker@berlin.helios-kliniken.de
Vorwerk
Christian
C
Mawrin
Christian
C
Behrens-Baumann
Wolfgang
W
D019923:Capsulorhexis / Q000379:methods*; D004396:Coloring Agents; D003229:Conjunctival Diseases / Q000150:complications*; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D010390:Pemphigoid, Benign Mucous Membrane / Q000150:complications*; D013194:Staining and Labeling / Q000379:methods; D014343:Trypan Blue
D004396:Coloring Agents; D014343:Trypan Blue