Ocular indigo dye injury.
OBJECTIVE
To describe the clinical course, management, and final outcome in a case of ocular injury caused by accidental fall of indigo dye in both eyes.


METHODS
Review of patient's record and relevant literature.


RESULTS
A 32-year-old man sustained ocular injury caused by inadvertent indigo dye in both eyes. He presented with bluish staining of the entire ocular surface, subtotal corneal epithelial breakdown in both eyes, and entry of dye into the anterior chamber in the left eye. This was treated as acute alkali burns with lubricants and steroids. Over a period of 3 to 4 months, the ocular surface staining resolved completely, and visual acuity improved remarkably.


CONCLUSIONS
Although the clinical presentation was initially a cause for concern, the condition resolved completely with the same conservative management as applicable for other chemical injuries.
Rajaraman
Revathi
R
Cornea and Refractive Surgery Services, Aravind Eye Hospital, Coimbatore, Tamilnadu, India. revathi@cbe.aravind.org
George
Sachin Mathew
SM
Raghavan
Anita
A
D000328:Adult; D000867:Anterior Chamber / Q000187:drug effects*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001623:Betamethasone / Q000627:therapeutic use; D002057:Burns, Chemical / Q000188:drug therapy / Q000209:etiology*; D002701:Chloramphenicol / Q000627:therapeutic use; D004396:Coloring Agents / Q000009:adverse effects*; D003316:Corneal Diseases / Q000139:chemically induced* / Q000188:drug therapy; D003907:Dexamethasone / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D019573:Epithelium, Corneal / Q000187:drug effects; D005126:Eye Burns / Q000139:chemically induced* / Q000188:drug therapy; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007203:Indigo Carmine; D007211:Indoles / Q000009:adverse effects*; D008297:Male; D009824:Ointments / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D004396:Coloring Agents; D005938:Glucocorticoids; D007211:Indoles; D009824:Ointments; D002701:Chloramphenicol; D003907:Dexamethasone; D001623:Betamethasone; D007203:Indigo Carmine