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SENSORY ORGANS › OPHTHALMOLOGICALS › SURGICAL AIDS › Other surgical aids
trypan blue
S01KX02
Forms & Strengths
- 0.06% (0.6 mg/mL) sterile ophthalmic solution
Adult Dosing
- Apply 1‑2 drops to ocular surface; leave in contact 30‑60 seconds then rinse with balanced salt solution; single use per procedure
Pediatric Dosing
- Same concentration as adults; use minimal volume (1 drop) and monitor for irritation; avoid in neonates unless essential
Indications
- Staining of corneal epithelial defects for diagnostic evaluation
- Capsular staining during cataract surgery to enhance visualization
- Intra‑ocular staining for vitreoretinal procedures
Mechanism of Action
- Azo dye that selectively binds to cells with compromised plasma membranes, highlighting non‑viable or exposed tissue
Contraindications
- Known hypersensitivity to trypan blue or any component of the formulation
- Active ocular infection or ulceration
- Severe ocular surface disease (e.g., severe dry eye, Stevens‑Johnson syndrome)
Adverse Reactions
- Transient stinging, burning, or foreign‑body sensation
- Mild conjunctival hyperemia
- Allergic conjunctivitis (rare)
- Corneal endothelial cell toxicity at high concentration or prolonged exposure
- Temporary increase in intraocular pressure
Drug Interactions
- No systemic interactions reported
- Avoid concurrent use of other ophthalmic dyes to prevent additive staining
- Caution with topical anesthetics that may enhance corneal penetration
Curated Content: Needs Vetting Before Put to Clinical Use