Scientific article
Case report
English

Two cases of toxic anterior segment syndrome from generic trypan blue

Published inJournal of cataract and refractive surgery, vol. 36, no. 12, p. 2195-2199
Publication date2010
Abstract

We report 2 cases of toxic anterior segment syndrome (TASS) resulting from impurities in generic trypan blue that was administered intracamerally to improve visualization of the capsule. Histology of the corneal buttons revealed foci of inflammatory response and complete loss of endothelial cells. Cell culture analysis showed that the generic trypan blue was approximately twice as toxic to the endothelium as a proprietary trypan blue. Ophthalmologists should be aware that any substance administered intraocularly can be a source of complications, and they should know the source of all material used in surgery.

Keywords
  • Aorta, Thoracic/cytology
  • Cell Survival
  • Cells, Cultured
  • Coloring Agents/adverse effects/toxicity
  • Corneal Edema/chemically induced/diagnosis
  • Drugs, Generic
  • Endothelium, Corneal/drug effects/pathology
  • Endothelium, Vascular/drug effects/pathology
  • Endotoxins/adverse effects/toxicity
  • Female
  • Humans
  • Lens Capsule, Crystalline/pathology
  • Lens Implantation, Intraocular
  • Male
  • Middle Aged
  • Phacoemulsification
  • Trypan Blue/adverse effects/toxicity
  • Uveitis, Anterior/chemically induced/diagnosis
Affiliation entities Not a UNIGE publication
Citation (ISO format)
BUZARD, Kurt et al. Two cases of toxic anterior segment syndrome from generic trypan blue. In: Journal of cataract and refractive surgery, 2010, vol. 36, n° 12, p. 2195–2199. doi: 10.1016/j.jcrs.2010.09.017
Main files (1)
Article (Published version)
accessLevelRestricted
Identifiers
Journal ISSN0886-3350
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0downloads

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