TRYBLUE - Trypan Blue 0.06% Ophthalmic Solution

Composition w/v   Trypan blue 0.06% w\v Aqueous buffered vehicle q.s  Description Trypan blue is a vital dye used in matured cataract surgery, which stains the anterior capsule and fibrous tissue enables the surgeon to see the capsule clearly.  Indications It is used as a staining agent in ophthalmic surgery. Contraindications It is contraindicated in those hypersensitive to any components of the preparation. Warnings & Precautions Always use separate syringe and needle for Trypan blue injection.(Avoid antibiotic\steroid used syringe\needle since it crystallizes the Trypan blue.) For single use only. Not for IV \ IM injection.  Adverse reactions Mild post operative inflammatory reactions may occur in some cases. Extreme care must be taken using TRYBLUE on patients who are hypersensitive to any of its components. Technique To use TRYBLUE the first step is to inject air into the anterior chamber using a 26 guage needle in the area where the second site is made. This prevents water like dilution of the dye. Then TRYBLUE is withdrawn from the vial into a syringe which is then injected into the anterior chamber between the air bubble and the lens capsule. Use the bevel down of the needle and see to it the injection is made in a drop format so that the whole capsule gets stained. If some stain is left unstained, inject a drop in that area till it gets stained. It is kept likethat for a minute for attaining of the anterior capsule to occur. Next the viscoelastic is injected into the anterior chamber, this will distend the eye so that when you make a clear corneal incision, the eye will be trense and one can create a good valve. Now use a straight rod to stabilize the eye with the left hand and with the right hand make a clear corneal incision or scleral incision. Inject viscoelastic inside the eye to remove the air bubble and the TRYBLUE. Now rhexis is started with a needle or with a forceps. One will see the contrast between the capsule, which has been stained and the cortex which is not stained. The rhexis is continued and finally completed. When the rhexis is complete, we can see the stained anterior capsule lying in the anterior chamber. Storage Store in a cool dry place. Protect from light. Presentation TRYBLUE is available in sterile 1 ml vial.