Purpose: To determine whether trypan blue (TB) is toxic to cultured human retinal pigment epithelial (ARPE-19) cells, and whether hypothermia can protect ARPE-19 cells against TB toxicity. Methods: ARPE-19 cells were cultured and exposed to balanced salt solution as a control, while other cells were exposed to 0.05, 0.2, and 0.5% TB dye at 37 and 4°C for 5 and 30 min. The percentage of ARPE-19 cells that survived was determined by resazurin 1 day after the exposure. Results: A statistically significant decrease in the percentage of ARPE-19 cells surviving was found after exposure to 0.2 and 0.5% TB at any temperature or for any exposure duration (p < 0.01). The percentage of RPE cells surviving at 0.05% was not significantly different from that of controls except for a 30-min exposure at 37°C. The percentage of cells surviving at 4°C for a 5-min exposure to 0.5% TB and a 30-min exposure to 0.2 and 0.5% was significantly higher than that at 37°C under each condition (p < 0.01 for all). Conclusions: These results indicate that TB is toxic to human RPE cells, and the toxicity is dose- and exposure duration-dependent. Exposing the cells at 4°C had a protective effect against higher concentrations or longer exposure durations of TB compared to exposure at 37°C.

1.
Stalmans P, Feron EJ, Parys-Van Ginderdeuren R, Van Lommel A, Melles GR, Veckeneer M: Double vital staining using trypan blue and infracyanine green in macular pucker surgery. Br J Ophthalmol 2003;87:713–716.
2.
Teba FA, Mohr A, Eckardt C, Wong D, Kusaka S, Joondeph BC, Feron EJ, Stalmans P, Van Overdam K, Melles GR: Trypan blue staining in vitreoretinal surgery. Ophthalmology 2003;110:2409–2412.
3.
Vote BJ, Russell MK, Joondeph BC: Trypan blue-assisted vitrectomy. Retina 2004;24:736–738.
4.
Haritoglou C, Eibl K, Schaumberger M, Mueller AJ, Priglinger S, Alge C, Kampik A: Functional outcome after trypan blue-assisted vitrectomy for macular pucker: a prospective, randomized, comparative trial. Am J Ophthalmol 2004;138:1–5.
5.
Kwok AK, Yeung CK, Lai TY, Chan KP, Pang CP: Effects of trypan blue on cell viability and gene expression in human retinal pigment epithelial cells. Br J Ophthalmol 2004;88:1590–1594.
6.
Gale JS, Proulx AA, Gonder JR, Mao AJ, Hutnik CM: Comparison of the in vitro toxicity of indocyanine green to that of trypan blue in human retinal pigment epithelium cell cultures. Am J Ophthalmol 2004;138:64–69.
7.
Rezai KA, Farrokh-Siar L, Gasyna EM, Ernest JT: Trypan blue induces apoptosis in human retinal pigment epithelial cells. Am J Ophthalmol 2004;138:492–495.
8.
Rosomoff HL: Hypothermia and cerebral vascular lesions. I. Experimental interruption of the middle cerebral artery during hypothermia. J Neurosurg 1956;13:244–255.
9.
Mcdowall DG: The current usage of hypothermia in British neurosurgery. Br J Anaesth 1971;43:1084–1087.
10.
Rinkoff J, Machemer R, Hida T, Chandler D: Temperature-dependent light damage to the retina. Am J Ophthalmol 1986;102:452–462.
11.
Jabbour NM, Schepens CL, Buzney SM: Local ocular hypothermia in experimental intraocular surgery. Ophthalmology 1988;95:1687–1690.
12.
Norn MS: Vital staining of corneal endothelium in cataract extraction. Acta Ophthalmol (Copenh) 1971;49:725–733.
13.
Melles GR, de Waard PW, Pameyer JH, Houdijn Beekhuis W: Trypan blue capsule staining to visualize the capsulorhexis in cataract surgery. J Cataract Refract Surg 1999;25:7–9.
14.
Melles GR, de Waard PW, Pameijer JH, Beekhuis WH: Staining the lens capsule with trypan blue for visualizing capsulorhexis in surgery of mature cataracts. Klin Monatsbl Augenheilkd 1999;215:342–344.
15.
Norn MS: Per operative trypan blue vital staining of corneal endothelium: eight years’ follow-up. Acta Ophthalmol (Copenh) 1980;58:550–555.
16.
Haritoglou C, Gandorfer A, Schaumberger M, Priglinger SG, Mueller AJ, Gass CA, Kampik A: Trypan blue in macular pucker surgery: an evaluation of histology and functional outcome. Retina 2004;24:582–590.
17.
Narayanan R, Kenney MC, Kamjoo S, Trinh TH, Seigel GM, Resende GP, Kuppermann BD: Trypan blue: effect on retinal pigment epithelial and neurosensory retinal cells. Invest Ophthalmol Vis Sci 2005;46:304–309.
18.
Jackson TL, Hillenkamp J, Knight BC, Zhang JJ, Thomas D, Stanford MR, Marshall J: Safety testing of indocyanine green and trypan blue using retinal pigment epithelium and glial cell cultures. Invest Ophthalmol Vis Sci 2004;45:2778–2785.
19.
Machida S, Fujiwara T, Gotoh T, Hasegawa Y, Gotoh A, Tazawa Y: Observation of the ocular fundus by an infrared-sensitive video camera after vitreoretinal surgery assisted by indocyanine green. Retina 2003;23:183–191.
20.
Nakamura H, Hayakawa K, Imaizumi A, Sakai M, Sawaguchi S: Persistence of retinal indocyanine green dye following vitreous surgery. Ophthalmic Surg Lasers Imaging 2005;36:37–45.
21.
Veckeneer M, van Overdam K, Monzer J, Kobuch K, van Marle W, Spekreijse H, van Meurs J: Ocular toxicity study of trypan blue injected into the vitreous cavity of rabbit eyes. Graefes Arch Clin Exp Ophthalmol 2001;239:698–704.
22.
Tamai K, Toumoto E, Majima A: Protective effects of local hypothermia in vitrectomy under fluctuating intraocular pressure. Exp Eye Res 1997;65:733–738.
23.
Tamai K, Toumoto E, Majima A: Local hypothermia protects the retina from ischaemic injury in vitrectomy. Br J Ophthalmol 1997;81:789–794.
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