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Toxic anterior segment syndrome: A review
Erick Hernandez-Bogantes1, Alejandro Navas2, Andrea Naranjo3
1Centro Ocular, Heredia, Costa Rica; Instituto de Oftalmología Fundación Conde de Valenciana, Ciudad de México, México.
Survey of Ophthalmology
|February 1, 2019
Summary
Toxic anterior segment syndrome (TASS) is an inflammatory reaction after eye surgery. Prompt diagnosis and treatment lead to good outcomes, emphasizing prevention and early recognition to avoid complications.
Area of Science:
- Ophthalmology
- Surgical Complications
Background:
- Toxic anterior segment syndrome (TASS) is a noninfectious inflammatory condition affecting the anterior chamber of the eye.
- It typically manifests 12-48 hours post-intraocular surgery with symptoms like corneal edema and decreased vision.
Purpose of the Study:
- To review the literature on TASS, covering its causes, mechanisms, and management.
- To emphasize the importance of early TASS recognition and differentiate it from infectious endophthalmitis.
Main Methods:
- Literature review of toxic anterior segment syndrome.
- Analysis of etiology, pathophysiology, clinical presentation, and management strategies.
Main Results:
- TASS presents with limbus-to-limbus corneal edema and anterior chamber inflammation.
- Most patients have favorable outcomes with timely diagnosis and treatment.
Conclusions:
- Prompt diagnosis and adequate treatment are crucial for good visual outcomes in TASS.
- Prevention, early recognition, and distinguishing TASS from endophthalmitis are key to reducing its frequency.
Keywords:
anterior segment inflammationanterior uveitiscataract surgerycorneal edemahypopyonintracameral solutionssterile inflammationsterilizationtopical steroidstoxic anterior segment syndromeMore Related Videos
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