Indocyanine green staining in traumatic cataract

We report the first case of indocyanine green (ICG) being used in an eye wi th an anterior capsule that was not completely intact. We found that ICG se ems to have a selective affinity for the anterior capsule over cortical len s material. The patient had a corneal perforation with a wire and developed endophthalmitis requiring pars plana vitrectomy with intravitreal antibiot ics. He subsequently developed a white traumatic cataract with an anterior capsule tear, Five months after the injury, he had cataract extraction. Ind ocyanine green was used to better visualize the anterior capsule before cap sulotomy. The anterior capsule stained green, but the cortical material exp osed to ICG did not stain. J Cataract Refract Surg 2000; 26: 1691-1693 (C) 2000 ASCRS and ESCRS.