1. Comparison of Wash-out Properties after Use of the Vital Dye Trypan Blue in the Form of an Ophthalmic Dye and Bound in a Sodium Hyaluronate by Raman Spectroscopy
- Author
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Eva-Maria Borkenstein, Andreas F Borkenstein, Johannes Rattenberger, Achim Langenbucher, and Harald Matthias Fitzek
- Subjects
Sodium hyaluronate ,Spectrum Analysis, Raman ,03 medical and health sciences ,Cellular and Molecular Neuroscience ,chemistry.chemical_compound ,symbols.namesake ,0302 clinical medicine ,Raman band ,Hyaluronic Acid ,Coloring Agents ,Test sample ,Chromatography ,Staining and Labeling ,Viscosupplements ,Washout ,Trypan Blue ,Drug Residues ,Sensory Systems ,Drug Combinations ,Ophthalmology ,Reference sample ,chemistry ,030221 ophthalmology & optometry ,symbols ,Trypan blue ,Ophthalmic Solutions ,Raman spectroscopy ,030217 neurology & neurosurgery - Abstract
Purpose In cataract surgery, viscoelastics protect the corneal endothelium against phacoenergetic and mechanical damage and ensure anterior chamber stability. Vital dyes (trypan blue) are effective aids in anterior segment surgery, especially in challenging cases, but may lead to cytotoxic reactions depending on concentration and dose. A complete removal of the dye is therefore of great importance. Recently, a new viscoelastic colored with Trypan blue (Pe-Ha-Blue®PLUS) was introduced to increase the safety of ophthalmological procedures. The aim of the present work was to determine the residual amount of the dye Trypan Blue that remains on a slide during the routine application of two commercial products (Trypan Blue dye Vision Blue® and Pe-Ha-Blue®PLUS) by Raman spectroscopy. Materials and methods For both products, a test sample (after application of the substance, the slides were flushed according to the clinical procedure) and a reference sample (the substances remained on the slide) were imaged using a Raman spectroscope (LabRam 800 HR spectrometer (Horiba Jobin Yvon GmbH, Bensheim, Germany)) and then analyzed. Results The remaining residues of the reference samples of both substances were clearly detected by the spectroscopy measurement. In the mean spectrum of the Vision Blue® test specimen, the Raman bands of Trypan blue were clearly visible at a Raman shift of 1200-1600 cm-1, indicating residues on the test specimen. The test sample of Pe-Ha-Blue®PLUS did not show any Raman bands in the typical Trypan blue Raman shift. Conclusions The results of our in-silico experiment showed that a drop of a combination of a vital dye with a viscoelastic could be washed-out more easily with BSS compared to a dye itself without viscoelastics. This suggests that at least in an in silico experiment the removal of both, the viscoelastics and the TB is easier compared to the removal of the TB alone. Further in-vitro experiment in pig cadaver eyes are planned to prove this washout effect. If this concept can be demonstrated, this could further increase the safety of dye-assisted ophthalmic procedures.
- Published
- 2022
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