May 2005
Volume 46, Issue 13
ARVO Annual Meeting Abstract  |   May 2005
Non–Infectious Endophthalmitis Associated With Trypan Blue Use in Cataract Surgery
Author Affiliations & Notes
  • L. Wu
    Vitreoretinal, Instituto de Cirugía Ocular, Plaza Mayor San Jose, Costa Rica
  • R. Velasquez
    Ophthalmology, Fundacion Conde Valenciana, Mexico City, Mexico
  • O. Montoya
    Ophthalmology, Centro Oftalmologico Olga Montoya, San José, Costa Rica
  • Footnotes
    Commercial Relationships  L. Wu, None; R. Velasquez, None; O. Montoya, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science May 2005, Vol.46, 5547. doi:
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      L. Wu, R. Velasquez, O. Montoya; Non–Infectious Endophthalmitis Associated With Trypan Blue Use in Cataract Surgery . Invest. Ophthalmol. Vis. Sci. 2005;46(13):5547.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract: : Purpose: To report the clinical findings and management of three eyes that developed non–infectious endophthalmitis following routine trypan blue staining of the anterior lens capsule during uncomplicated phacoemulsification with a foldable lens implant. Methods: Retrospective case series. Results: On the first post–operative day, 17.6% (3/17) of eyes had an increased cellular response in the anterior chamber and anterior vitreous, 11.7% (2/17) had a hypopion and the fundus could not be visualized in 17.6% (3/17). Visual acuities at presentation ranged from 20/100 to 20/400. All eyes were initially managed with topical and oral steroids. Two eyes eventually underwent pars plana vitrectomy. Vitreous cultures were all negative. One eye had a repeat vitrectomy to remove an epiretinal membrane. Final visual acuity achieved was 20/80, 20/25 and 20/20. Conclusions: Trypan blue use may be associated with severe intraocular inflammation.

Keywords: endophthalmitis • treatment outcomes of cataract surgery • cataract 

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