title: Inadvertent use of water-based ink instead of trypan blue in cataract surgery.
abstract: We report a case of iris atrophy and corneal endothelial decompensation following the inadvertent use of water-based ink for capsular staining during cataract surgery. The anterior chamber was thoroughly irrigated with balanced salt solution after the identification of the wrong dye. Phacoemulsification with minimal ultrasound energy and intraocular lens implantation were performed without complications, and the operation was completed. The patient finally developed bullous keratopathy and underwent penetrating keratoplasty 4 months later.
authors.affiliation: Dr. Lutfi Kardar Kartal Training and Research Hospital, 1st Eye Clinic, Istanbul, Turkey.
authors.forename: Suleyman
authors.initials: S
authors.lastname: Kugu
authors.forename: Gurkan
authors.initials: G
authors.lastname: Erdogan
authors.forename: Baran
authors.initials: B
authors.lastname: Kandemir
authors.forename: Omer Kamil
authors.initials: OK
authors.lastname: Dogan
mesh_terms: D000368:Aged; D001284:Atrophy; D004396:Coloring Agents / Q000008:administration & dosage / Q000009:adverse effects*; D055954:Corneal Endothelial Cell Loss / Q000139:chemically induced* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007267:Injections; D007281:Ink; D007499:Iris Diseases / Q000139:chemically induced* / Q000473:pathology; D015948:Keratoplasty, Penetrating; D019654:Lens Implantation, Intraocular; D008297:Male; D019300:Medical Errors; D018918:Phacoemulsification; D013194:Staining and Labeling / Q000379:methods*; D007507:Therapeutic Irrigation; D014343:Trypan Blue / Q000008:administration & dosage
chemical_list: D004396:Coloring Agents; D014343:Trypan Blue