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The method for staining of anterior lens capsule in cases with small and rigid pupils

https://doi.org/10.18008/1816-5095-2012-4-39-42

Abstract

Purpose: to evaluate the safety and effectiveness of proposed method for staining with trypan blue anterior lens capsule in cases with small and rigid pupils.
Methods: the safety and effectiveness of the proposed method was evaluated in 169 cases having small and rigid pupils of III and IV grade. Surgical steps included: irrigation of anterior chamber with small amount of air, enough to block the pupil; irrigation of posterior chamber with little amount of dye followed by aspiration of air bubble. the excess dye came out and stained the capsule in pupillary area.
Results: No difficulty was encountered in irrigating the posterior chamber with dye. Uneven staining of the capsule was noticed in 16 cases (9.5%). In 3 cases (1.8%) extensive staining of iris and posterior capsule was observed. Continuous curvilinear capsulorhexis was performed successfully in 97.6% cases. In 4 cases there was radial run of the rhexis extending up to posterior capsule. Postopera- tive inflammation of 1st and 2nd degree was observed in 5.9 and 23.1% cases, which was related to unavoidable trauma to iris tissue during pupil stretching.
Conclusion: the proposed method of capsule staining in cases with small and rigid pupils is safe and effective.

About the Authors

V. Kumar
Офтальмологическое отделение МУЗ «Сходненская городская больница», г. Сходня, Московской области Кафедра глазных болезней Российского университета дружбы народов, Москва
Russian Federation


M. A. Frolov
Кафедра глазных болезней Российского университета дружбы народов, Москва, Россия
Russian Federation


I. Ye. Makovetskaya
Офтальмологическое отделение МУЗ «Сходненская городская больница», г. Сходня, Московской области
Russian Federation


E. V. Bozhok
Офтальмологическое отделение МУЗ «Сходненская городская больница», г. Сходня, Московской области
Russian Federation


References

1. МачехинВ. А., НиколашинС. И.Факоэмульсификация катаракты на глаукоматозных глазах с узким ригидным зрачком // Тез. докад. VII международной науч.‐практ.конф.: «Современные технологии катарактальной и рефракциональной хирургии». — М, 2006. — С. 181‐185.

2. Chang Y. S., Tseng S. Y., Tseng S. H. Comparison of dyes for cataract surgery. Part 2: efficacy of capsule staining in a rabbit model // J. Cataract Refract. Surg. — 2005. — Vol. 31. — P. 799‐804.

3. ChungC. F., LiangC. C., LaiJ. S., et al. Safety of trypan blue 1 % and indocyanine green 0.5 % in assisting visualization of anterior capsule during phacoemulsi- fication in mature cataract // J. Cataract Refract. Surg. — 2005. — Vol. 31. — P. 938‐942.

4. Pandey S. K., Werner L., Wilson M. E., et al. Anterior capsule staining. Techniques, recommendations and guidelines for surgeons // Ind. J. Ophthalmol. — 2002. — Vol. 50. –P. 157‐159.

5. Dada V. K., Sharma N., Sudan R., et al. Anterior capsule staining for capsulorhexis in cases of white cataract: comparative clinical study // J. Cataract Refract. Surg. — 2004. –Vol. 30. — P. 326‐333.

6. Jacob S., Agarwal A., Agarwal A., et al. Trypan blue as an adjunct for safe phacoemulsification in eyes with white cataract // J. Cataract Refract. Surg. — 2002. — Vol. 28. — P. 1819‐1825.

7. Pandey S. K., Werner L., Escobar‐Gomez M., et al. Dye‐enhanced cataract surgery. Part 1: anterior capsule staining for capsulorhexis in advanced / white cataract // J. Cataract Refract. Surg. — 2000. –Vol. 26. — P. 1052‐1059.

8. Singh A. J., Sarodia U. A., Brown L., et al. A histological analysis of lens capsules stained with trypan blue for capsulorrhexis in phacoemulsification cataract surgery // Eye. — 2003. — Vol. 17. — P. 567‐570.

9. Kothari K., Jain S. S., Shah N. J. Anterior capsular staining with trypan blue in mature and hypermature cataracts: A preliminary study // Ind. J. Ophthalmol. — 2001. — Vol. 49. — P. 177‐180.

10. Федоров С. Н., Егорова Э. В. Ошибки и осложнения при имплантации искусственного хрусталика. — М., — 1992. — С. 244.

11. Akahoshi T. Soft‐shell stain technique for white cataract. ASCRS symposium on Cataract, IOL, and Refractive Surgery. Boston, MA, USA, May 2000 (cited by Pan- dey S. K. et al., 2002).

12. Caporossi A., Balestrazzi A., Alegente M., et al. Trypan blue staining of the an- terior capsule: the one‐drop technique // Ophthalmic Surg. Lasers Imaging. — 2005. — Vol. 36. –P. 432‐434.

13. Khokhar S., Pandey M. S., Panda A., et al. Painting technique for staining the an- terior lens capsule // J. Cataract Refract. Surg. –2003. — Vol. 29. — P. 435‐436.

14. Laureano J. S., Coroneo M. T. Crystalline lens capsule staining with trypan blue // J. Cataract Refract. Surg. — 2004. — Vol. 30. — P. 2046‐2049.

15. Marques D. M., Marques F. F., Osher R. H. Three‐step technique for staining the anterior lens capsule with indocyanine green or trypan blue // J. Cataract Refract. Surg. — 2004. –Vol. 30. — P. 13‐16.

16. Kayikicioglu O., Erakgun T., Guler C. Trypan blue mixed with sodium hyaluronate for capsulorhexis // J. Cataract Refract. Surg. — 2001. — Vol. 27. — P. 970.


Review

For citations:


Kumar V., Frolov M.A., Makovetskaya I.Ye., Bozhok E.V. The method for staining of anterior lens capsule in cases with small and rigid pupils. Ophthalmology in Russia. 2012;9(4):39-42. (In Russ.) https://doi.org/10.18008/1816-5095-2012-4-39-42

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ISSN 1816-5095 (Print)
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