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Toxic Anterior Segment Syndrome

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Synonyms

TASS

Definition

Sterile inflammatory reaction of unknown incidence that can occur after anterior segment surgery.

Etiology

Administration of solutions of inappropriate chemical composition during anterior segment surgery. Various entities have been shown to cause toxic anterior segment syndrome. These include, but are not limited to, endotoxin; denatured ophthalmic viscosurgical devices; preservatives such as benzalkonium chloride, bisulfites, and metabisulfites; heavy metal residue; fine-matter particulates; and substances introduced into the anterior chamber that are at a pH or concentration that is toxic to the endothelial cells. In addition, residue of materials used in the cleaning and sterilization of ophthalmic instruments are a cause of toxic anterior segment syndrome.

Occurrence

After administration of solutions of inappropriate chemical composition during surgery, a sterile anterior chamber inflammation develops 12–48 h after surgery. Endophthalmitis as a...

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Further Reading

  • Cutler Peck CM, Brubaker J, Clouser S, Danford C, Edelhauser HE, Mamalis N (2010) Toxic anterior segment syndrome: common causes. J Cataract Refract Surg 36(7):1073–1080

    Article  PubMed  Google Scholar 

  • Johnston J (2006) Toxic anterior segment syndrome – more than sterility meets the eye. AORN J 84(6):969–984

    Article  PubMed  Google Scholar 

  • Mamalis N (2010) Toxic anterior segment syndrome update. J Cataract Refract Surg 36(7):1067–1068

    Article  PubMed  Google Scholar 

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Correspondence to Wolfgang Herrmann .

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© 2018 Springer-Verlag GmbH Germany

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Cite this entry

Herrmann, W., Kohnen, T. (2018). Toxic Anterior Segment Syndrome. In: Schmidt-Erfurth, U., Kohnen, T. (eds) Encyclopedia of Ophthalmology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-69000-9_341

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  • DOI: https://doi.org/10.1007/978-3-540-69000-9_341

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-68292-9

  • Online ISBN: 978-3-540-69000-9

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