Balanced salt solution

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A sterile solution used in medical procedures



Balanced salt solution






Balanced salt solution (BSS) is a sterile solution used in various medical procedures, particularly in ophthalmic surgery and tissue culture. It is designed to maintain the physiological pH and osmotic balance of cells and tissues during surgical procedures or laboratory experiments.

Composition

Balanced salt solutions typically contain a mixture of salts, including sodium chloride, potassium chloride, calcium chloride, magnesium chloride, and sodium bicarbonate. These components are carefully balanced to mimic the natural ionic composition of bodily fluids, providing an optimal environment for cells and tissues.

Uses

Ophthalmic Surgery

In ophthalmic surgery, balanced salt solution is used to irrigate the eye, keeping it moist and clear of debris. It helps maintain the corneal endothelium and other delicate structures of the eye during procedures such as cataract surgery and corneal transplantation.

Tissue Culture

In tissue culture, balanced salt solutions provide a controlled environment for the growth and maintenance of cells. They are used to wash cells, dilute substances, and as a base for more complex media.

Mechanism of Action

Balanced salt solutions work by maintaining the osmotic balance and pH of the environment in which they are used. The presence of essential ions helps to stabilize cell membranes and support cellular functions, preventing damage during surgical procedures or experimental manipulations.

History

The development of balanced salt solutions dates back to the early 20th century, with the introduction of Ringer's solution and later modifications such as Lactated Ringer's solution. These solutions were designed to mimic the ionic composition of blood plasma, providing a physiologically relevant environment for cells and tissues.

Safety and Precautions

Balanced salt solutions are generally safe when used as directed. However, care must be taken to ensure sterility and proper handling to prevent contamination. In ophthalmic applications, the solution should be isotonic and free of preservatives to avoid irritation or damage to the eye.

Also see


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Contributors: Prab R. Tumpati, MD