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Development of Toxic Anterior Segment Syndrome Immediately after Uneventful Phaco Surgery

PURPOSE: We report on 15 cases of suspected toxic anterior segment syndrome after uneventful phaco surgery. METHODS: We retrospectively reviewed the charts of patients who had developed toxic anterior segment syndrome (TASS) after uneventful phacoemulsification for senile cataracts between April and...

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Autores principales: Choi, Jin Seok, Shyn, Kyung Hwan
Formato: Texto
Lenguaje:English
Publicado: The Korean Ophthalmological Society 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2629913/
https://www.ncbi.nlm.nih.gov/pubmed/19096238
http://dx.doi.org/10.3341/kjo.2008.22.4.220
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author Choi, Jin Seok
Shyn, Kyung Hwan
author_facet Choi, Jin Seok
Shyn, Kyung Hwan
author_sort Choi, Jin Seok
collection PubMed
description PURPOSE: We report on 15 cases of suspected toxic anterior segment syndrome after uneventful phaco surgery. METHODS: We retrospectively reviewed the charts of patients who had developed toxic anterior segment syndrome (TASS) after uneventful phacoemulsification for senile cataracts between April and December of 2005. Clinical features and all possible causes were investigated including irrigating solutions or drugs, surgical instruments or intraocular lenses, sterilization techniques for instruments, or any other accompanying disease. RESULTS: The patients consisted of 2 males and 13 females with an average age of 64.7±10.9 years. Five different surgeons had performed their phaco surgeries. No abnormal preoperative or operative findings were reported. Nevertheless, all 15 patients developed a moderate degree of corneal edema. Ordinary treatments were not helpful. We suspect that lack of sterilization resulted in the development of the syndrome, because after ethylene oxide gas sterilization was replaced with autoclaving, no such incidents have occurred. CONCLUSIONS: Toxic anterior segment syndrome requires special attention and thorough management, including sterilization of reused surgical instruments.
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spelling pubmed-26299132009-02-25 Development of Toxic Anterior Segment Syndrome Immediately after Uneventful Phaco Surgery Choi, Jin Seok Shyn, Kyung Hwan Korean J Ophthalmol Original Article PURPOSE: We report on 15 cases of suspected toxic anterior segment syndrome after uneventful phaco surgery. METHODS: We retrospectively reviewed the charts of patients who had developed toxic anterior segment syndrome (TASS) after uneventful phacoemulsification for senile cataracts between April and December of 2005. Clinical features and all possible causes were investigated including irrigating solutions or drugs, surgical instruments or intraocular lenses, sterilization techniques for instruments, or any other accompanying disease. RESULTS: The patients consisted of 2 males and 13 females with an average age of 64.7±10.9 years. Five different surgeons had performed their phaco surgeries. No abnormal preoperative or operative findings were reported. Nevertheless, all 15 patients developed a moderate degree of corneal edema. Ordinary treatments were not helpful. We suspect that lack of sterilization resulted in the development of the syndrome, because after ethylene oxide gas sterilization was replaced with autoclaving, no such incidents have occurred. CONCLUSIONS: Toxic anterior segment syndrome requires special attention and thorough management, including sterilization of reused surgical instruments. The Korean Ophthalmological Society 2008-12 2008-12-26 /pmc/articles/PMC2629913/ /pubmed/19096238 http://dx.doi.org/10.3341/kjo.2008.22.4.220 Text en Copyright © 2008 The Korean Ophthalmological Society http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Choi, Jin Seok
Shyn, Kyung Hwan
Development of Toxic Anterior Segment Syndrome Immediately after Uneventful Phaco Surgery
title Development of Toxic Anterior Segment Syndrome Immediately after Uneventful Phaco Surgery
title_full Development of Toxic Anterior Segment Syndrome Immediately after Uneventful Phaco Surgery
title_fullStr Development of Toxic Anterior Segment Syndrome Immediately after Uneventful Phaco Surgery
title_full_unstemmed Development of Toxic Anterior Segment Syndrome Immediately after Uneventful Phaco Surgery
title_short Development of Toxic Anterior Segment Syndrome Immediately after Uneventful Phaco Surgery
title_sort development of toxic anterior segment syndrome immediately after uneventful phaco surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2629913/
https://www.ncbi.nlm.nih.gov/pubmed/19096238
http://dx.doi.org/10.3341/kjo.2008.22.4.220
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