Synonyms
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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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
Johnston J (2006) Toxic anterior segment syndrome – more than sterility meets the eye. AORN J 84(6):969–984
Mamalis N (2010) Toxic anterior segment syndrome update. J Cataract Refract Surg 36(7):1067–1068
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© 2018 Springer-Verlag GmbH Germany
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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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