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- Clinical outcomes of TASS are better with prompt diagnosis and treatment with topical corticosteroids and possibly cycloplegics.
- A 73-year-old man presented one day after uncomplicated cataract extraction with intraocular lens implant in the right eye.
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The use of routine intracameral antibiotics has become more common in many areas of the world, although this usage remains controversial. Most cases of TASS are successfully treated with topical steroids, non-steroidal anti-inflammatory drops, or both.If not resolved after 6 weeks, permanent damage is more likely to occur. Tissue damage can result in vision loss.
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However, postoperative endophthalmitis and toxic anterior segment syndrome (TASS) remain important challenges. Both endophthalmitis and TASS can present as severe postoperative inflammation, and clinical characteristics may be used to differentiate between the two (Table 1). Without prompt treatment, both may lead to poor visual outcomes. Although these entities cannot be prevented completely, their rates may be decreased through risk reduction strategies supported by peer-reviewed evidence.
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Toxic Anterior Segment Syndrome (TASS) is a rare and devastating complication of intraocular surgery. TASS is an acute sterile anterior chamber inflammatory reaction that usually develops hours after anterior segment surgery. Late-onset TASS has also been reported. The condition is responsive to topical steroids in most cases. Risk factors for endophthalmitis include preoperative, intraoperative, and postoperative factors. Preoperative factors include uncontrolled blepharitis or other ocular surface disease, diabetes mellitus, an immunocompromised state, infectious foci near the surgical site, and advanced age (5,10-12).