Inadvertent Corneal Intrastromal Injection of Trypan Blue and Air, During Cataract Surgery
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Trypan Blue used to stain the anterior capsule in the step of capsulorrhexis inadvertently stained the cornea intrastromally in a 44-year-old male patient. It resulted in pockets of blue dye and air in the corneal stroma. Case was postponed in view of poor visibility for performing further steps. Stromal edema and bluish discoloration almost completely disappeared on 15th day following conservative management with topical antibiotic-steroid, sodium chloride eye drops, and cycloplegics. The patient was operated after 15 days and had a good postoperative vision. This was a rare complication of cataract surgery that occurred due to improper paracentesis, when Trypan Blue was injected under air bubble by placing the cannula at the edge of the wound.
Authors and Affiliations
Dr. Ugam P. S. Usgaonkar, Dr. Geetika Gulati2
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