Evaluation of mechanical resistance to tearing of the anterior lens capsule after staining with different concentrations of trypan blue

J Cataract Refract Surg. 2020 Feb;46(2):293-297. doi: 10.1097/j.jcrs.0000000000000017.

Abstract

Purpose: To evaluate and compare the mechanical resistance to tearing of the anterior lens capsule opening after staining with different concentrations of trypan blue in ex vivo porcine eyes.

Setting: Semmelweis University, and Budapest University of Technology and Economics, Budapest, Hungary.

Design: Experimental study.

Methods: The study comprised 75 porcine eyes. The capsule was unstained in the Control Group (n = 25 eyes), 0.06% trypan blue was used to stain the capsule in Stained 1 Group (n = 25 eyes), and 0.1% trypan blue was used to stain the capsule in Stained 2 Group (n = 25 eyes). After capsulorhexis, the capsule openings were stretched with custom-designed testing equipment until they ruptured. The rupture force (RF), circumference stretching ratio (CSR), and secant modulus at 10 mN (SM10mN) and 50 mN (SM50mN) were evaluated.

Results: In total, 75 eyes were enrolled. There were no statistically significant differences in the RF (P = .8924) or CSR (P = .3876) among the groups. There were no statistically significant differences in the SM10mN (P = .8215) or SM50mN (P = .4184) among the groups.

Conclusions: In this porcine eye model, the trypan blue concentrations that are routinely used in cataract surgery had no effect on capsular rim stability.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anterior Capsule of the Lens / drug effects
  • Anterior Capsule of the Lens / injuries*
  • Anterior Capsule of the Lens / physiopathology
  • Biomechanical Phenomena / physiology*
  • Capsulorhexis
  • Coloring Agents / administration & dosage*
  • Elasticity / physiology
  • Rupture / physiopathology*
  • Staining and Labeling / methods
  • Swine
  • Trypan Blue / administration & dosage*

Substances

  • Coloring Agents
  • Trypan Blue