Sodium fluorescein (C2oHl00sNa2' resorcinolphthalein sodium, uranin, uranine yellow) is the dis odium salt of fluorescein, a weakly acidic dye of the xanthene series ( Fig. 1). It is an orange-red, odorless powder that is hygroscopic, freely soluble in water, and sparingly soluble in alcohol. Its molecular weight is 376 and its radius is 5.5 A. Fluorescein is synthesized by heating resorcinol with phthalic anhydride.Several properties of fluorescein contribute to its widespread use in ophthalmology. It is virtually nontoxic, shows only weak reversible tissue binding, and demonstrates the property of fluorescence. A fluorescent molecule absorbs light energy at a given wavelength. This results in excitation of electrons from the ground state to an excited state. Within a very short period oftime (about 10-9 s), the electrons return from the excitation state to the ground state and emit energy at a longer wavelength of light than that previously absorbed. The wavelengths at which fluorescein absorbs and emits light will vary, depending upon the pH of the solution, the thickness and concentration of the solution, the solvent, the presence of protein binding, the presence of hemoglobin, and other factors. Circulating fluorescein in the blood absorbs maximally at about 465-490 nm and has a peak emission at 520-530 nm. In the ocular fluids, the absorption peak is 480 nm and the emission peak is 520 nm. Fluorescein is a very efficient fluorescent molecule with a high quantum yield. Because of this, it can be detected at very low concentrations.Several additional properties of fluorescein mut be understood in order to appreciate its clinical uses. In general, the more intense the exciting light source, the greater will be the amount of fluorescence. Up to a point, increasing the concentration of fluorescein will result in increased fluorescence. At high concentrations, however, dimerization and polymerization occur and result in decreased fluorescence, with a shift in the emission spectrum to longer wavelengths. Quenching, a nonradiative dissipation ofthe absorbed energy, also occurs in concentrated solutions. Self-absorption of emitted light reduces fluorescence and the emission spectrum shifts toward longer wavelengths. For these reasons, highly concentrated so-