Methylene blue-related corneal edema and iris discoloration

Timucin O. B., Karadag M. F., Aslanci M. E., BAYKARA M.

ARQUIVOS BRASILEIROS DE OFTALMOLOGIA, cilt.79, sa.2, ss.121-122, 2016 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 79 Sayı: 2
  • Basım Tarihi: 2016
  • Doi Numarası: 10.5935/0004-2749.20160036
  • Dergi Adı: ARQUIVOS BRASILEIROS DE OFTALMOLOGIA
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.121-122
  • Bursa Uludağ Üniversitesi Adresli: Evet

Özet

We report the case of a 70-year-old female patient who developed corneal edema and iris discoloration following the inadvertent use of 1% methylene blue instead of 0.025% trypan blue to stain the anterior capsule during cataract phacoemulsification surgery. Copious irrigation was performed upon realization of incorrect dye use. Corneal edema and iris discoloration developed during the early postoperative period and persisted at 24-months follow-up. However, keratoplasty was not required. The intracameral use of 1% methylene blue has a cytotoxic effect on the corneal endothelium and iris epithelium. Copious irrigation for at least 30 min using an anterior chamber maintainer may improve outcomes.