Inadvertent Trypan Blue Posterior Capsule Staining during Cataract Surgery
The article by Burkholder and associates is a useful addition to the literature in that it highlights the relatively uncommon complication of inadvertent trypan blue staining of the posterior capsule and adds to the list of risk factors (that includes traumatic cataract and pseudoexfoliation) the use of iris hooks. We first noted this phenomenon in the second case we treated, and although it made the surgery more difficult, the advantage of being able to see the anterior capsule clearly throughout the surgery far outweighed the disadvantage of a reduced red reflex.