scholarly journals Inadvertent Trypan Blue Staining of Posterior Capsule during Cataract Surgery Associated with “Argentinian Flag” Event

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Robert A. Prinzi ◽  
Neeti M. Alapati ◽  
Shawn S. Gappy ◽  
Jason S. Dilly

Trypan blue is common in visualizing the anterior capsule during cataract surgery. Inadvertent staining of the posterior capsule during phacoemulsification is a rare complication and there are few reports in the literature. The proposed mechanism of posterior capsule staining in previous reports includes a compromised zonular apparatus or iris retractors facilitating the posterior flow of trypan blue. We report the first case of trypan blue staining of the posterior capsule associated with the “Argentinian flag” sign. In our case, the “Argentinian flag” allowed the trypan blue to seep between the posterior capsule and the lens, staining the anterior surface of the posterior capsule.

2012 ◽  
Vol 4 (2) ◽  
pp. 224-229 ◽  
Author(s):  
T Dada ◽  
S J Bali ◽  
S Mohan ◽  
S Bhartiya ◽  
A Sobti ◽  
...  

Objective: To report the use of trypan blue staining of the filtering bleb to assess its functional status in eyes undergoing phacoemulsification after trabeculectomy. Subjects and methods: This retrospective study was conducted at a tertiary eye care centre in North India and studied 33 eyes of 33 patients ( with previously operated trabeculectomy), who underwent phacoemulsification. Trypan blue dye (0.06%) was used to stain the anterior capsule. After completion of phacoemulsification, the staining of the trabeculectomy bleb was noted as diffuse, patchy, minimal or no staining. Results: Of the 33 eyes, 13 had diffuse staining (39.4%, mean IOP = 9.3 ± 2.2 mm Hg), 7 (21.2%, mean IOP= 15.5 ± 1.8 mm Hg) had patchy staining, 4 had minimal staining (12.1%, mean IOP= 17.5 ± 0.5mm Hg) and nine (27.3%, mean IOP= 19.3 ± 1.6 mm Hg) had no staining. These staining patterns were labeled as groups 1 - 4 respectively. Statistical analysis showed that the difference between the IOPs in Group 1 - 2 and between Group 2 - 3 was not significant statistically (p=0.682 and 0.665 respectively). However the differences between the IOPs between Groups 1 - 3, 1 - 4, 2 - 4, and 3 - 4 were found to be highly significant statistically (p<0.0005).Conclusions: Trypan blue dye can be used to test the amount of sub-conjunctival filtration in eyes undergoing phacoemulsification cataract surgery.DOI: http://dx.doi.org/10.3126/nepjoph.v4i2.6536 Nepal J Ophthalmol 2012; 4 (2): 224-229  


2005 ◽  
Vol 36 (5) ◽  
pp. 432-434 ◽  
Author(s):  
Aldo Caporossi ◽  
Angelo Balestrazzi ◽  
Marco Alegente ◽  
Fabrizio Casprini ◽  
Tomaso Caporossi

2005 ◽  
Vol 31 (9) ◽  
pp. 1842 ◽  
Author(s):  
Tanuj Dada ◽  
Harinder Singh Sethi ◽  
Namrata Sharma ◽  
V. K. Dada

2021 ◽  
pp. 129-133
Author(s):  
Maria L. Adams ◽  
Vasilios F. Diakonis ◽  
Robert J. Weinstock

We describe a case of radial extension and its management during femtosecond laser-assisted cataract surgery (FLACS) in a patient with intumescent cataracts. Radial extension was observed after injection of trypan blue into the anterior chamber. Management of the extension was achieved by separation of adhesions between the incomplete capsulotomy, along with manual completion at the areas of extensions. Careful observation during FLACS capsulotomy is advised in cases of intumescent cataracts due to the release of cortex into the anterior chamber which may interfere with the delivery of the laser treatment resulting in incomplete capsulotomy patterns. Furthermore, trypan blue staining is essential to identify possible incomplete capsulotomy patterns and extensions. The Argentinian flag sign may occur after femtosecond laser-assisted capsulotomy in cases of intumescent cataracts. Proper identification of incomplete capsulotomy patterns and radial extensions should be managed with careful manual completion of the capsulotomy.


Ophthalmology ◽  
2004 ◽  
Vol 111 (8) ◽  
pp. 1622-1623 ◽  
Author(s):  
Gema Rebolleda ◽  
Francisco José Muñoz Negrete ◽  
Marta Suarez-Figueroa

2007 ◽  
Vol 87 (5) ◽  
pp. 1200-1207 ◽  
Author(s):  
Patricia Fauque ◽  
Anis Ben Amor ◽  
Christiane Joanne ◽  
Germain Agnani ◽  
Jean Luc Bresson ◽  
...  

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