Toxic anterior-segment syndrome (TASS)

Servet Cetinkaya,1 Zeynep Dadaci,2 Hüsamettin Aksoy,3 Nursen Oncel Acir,2 Halil Ibrahim Yener,4 Ekrem Kadioglu5 1Ophthalmology Clinics, Turkish Red Crescent Hospital, Konya, 2Department of Ophthalmology, Faculty of Medicine, Mevlana University, Konya, 3Ophthalmology Clinics, Karaman State...

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Autores principales:	Cetinkaya S, Dadaci Z, Aksoy H, Acir NO, Yener HI, Kadioglu E
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/1e843905ee3946ffaa160b78bc449c15
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spelling	oai:doaj.org-article:1e843905ee3946ffaa160b78bc449c152021-12-02T07:40:46ZToxic anterior-segment syndrome (TASS)1177-5483https://doaj.org/article/1e843905ee3946ffaa160b78bc449c152014-10-01T00:00:00Zhttp://www.dovepress.com/toxic-anterior-segment-syndrome-tass-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483 Servet Cetinkaya,1 Zeynep Dadaci,2 Hüsamettin Aksoy,3 Nursen Oncel Acir,2 Halil Ibrahim Yener,4 Ekrem Kadioglu5 1Ophthalmology Clinics, Turkish Red Crescent Hospital, Konya, 2Department of Ophthalmology, Faculty of Medicine, Mevlana University, Konya, 3Ophthalmology Clinics, Karaman State Hospital, Karaman, 4Konya Eye Center Hospital, Konya, 5Ophthalmology Clinics, Beyhekim State Hospital, Konya, Turkey Purpose: To evaluate the clinical findings and courses of five patients who developed toxic anterior-segment syndrome (TASS) after cataract surgery and investigate the cause.Materials and methods: In May 2010, on the same day, ten patients were operated on by the same surgeon. Five of these patients developed TASS postoperatively.Results: Patients had blurred-vision complaints on the first day after the operation, but no pain. They had different degrees of diffuse corneal edema, anterior-chamber reaction, fibrin, hypopyon, iris atrophies, and dilated pupils. Their vision decreased significantly, and their intraocular pressures increased. Both anti-inflammatory and antiglaucomatous therapies were commenced. Corneal edema and inflammation resolved in three cases; however, penetrating keratoplasty was needed for two cases and additional trabeculectomy was needed for one case. Although full investigations were undertaken at all steps, we could not find the causative agent.Conclusion: TASS is a preventable complication of anterior-segment surgery. Recognition of TASS, differentiating it from endophthalmitis, and starting treatment immediately is important. Controlling all steps in surgery, cleaning and sterilization of the instruments, and training nurses and other operation teams will help us in the prevention of TASS. Keywords: cataract, phacoemulsification, TASS, corneal edema, inflammationCetinkaya SDadaci ZAksoy HAcir NOYener HIKadioglu EDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 2065-2069 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Cetinkaya S Dadaci Z Aksoy H Acir NO Yener HI Kadioglu E Toxic anterior-segment syndrome (TASS)
description	Servet Cetinkaya,1 Zeynep Dadaci,2 Hüsamettin Aksoy,3 Nursen Oncel Acir,2 Halil Ibrahim Yener,4 Ekrem Kadioglu5 1Ophthalmology Clinics, Turkish Red Crescent Hospital, Konya, 2Department of Ophthalmology, Faculty of Medicine, Mevlana University, Konya, 3Ophthalmology Clinics, Karaman State Hospital, Karaman, 4Konya Eye Center Hospital, Konya, 5Ophthalmology Clinics, Beyhekim State Hospital, Konya, Turkey Purpose: To evaluate the clinical findings and courses of five patients who developed toxic anterior-segment syndrome (TASS) after cataract surgery and investigate the cause.Materials and methods: In May 2010, on the same day, ten patients were operated on by the same surgeon. Five of these patients developed TASS postoperatively.Results: Patients had blurred-vision complaints on the first day after the operation, but no pain. They had different degrees of diffuse corneal edema, anterior-chamber reaction, fibrin, hypopyon, iris atrophies, and dilated pupils. Their vision decreased significantly, and their intraocular pressures increased. Both anti-inflammatory and antiglaucomatous therapies were commenced. Corneal edema and inflammation resolved in three cases; however, penetrating keratoplasty was needed for two cases and additional trabeculectomy was needed for one case. Although full investigations were undertaken at all steps, we could not find the causative agent.Conclusion: TASS is a preventable complication of anterior-segment surgery. Recognition of TASS, differentiating it from endophthalmitis, and starting treatment immediately is important. Controlling all steps in surgery, cleaning and sterilization of the instruments, and training nurses and other operation teams will help us in the prevention of TASS. Keywords: cataract, phacoemulsification, TASS, corneal edema, inflammation
format	article
author	Cetinkaya S Dadaci Z Aksoy H Acir NO Yener HI Kadioglu E
author_facet	Cetinkaya S Dadaci Z Aksoy H Acir NO Yener HI Kadioglu E
author_sort	Cetinkaya S
title	Toxic anterior-segment syndrome (TASS)
title_short	Toxic anterior-segment syndrome (TASS)
title_full	Toxic anterior-segment syndrome (TASS)
title_fullStr	Toxic anterior-segment syndrome (TASS)
title_full_unstemmed	Toxic anterior-segment syndrome (TASS)
title_sort	toxic anterior-segment syndrome (tass)
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/1e843905ee3946ffaa160b78bc449c15
work_keys_str_mv	AT cetinkayas toxicanteriorsegmentsyndrometass AT dadaciz toxicanteriorsegmentsyndrometass AT aksoyh toxicanteriorsegmentsyndrometass AT acirno toxicanteriorsegmentsyndrometass AT yenerhi toxicanteriorsegmentsyndrometass AT kadioglue toxicanteriorsegmentsyndrometass
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Toxic anterior-segment syndrome (TASS)

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