Toxic anterior segment syndrome (TASS). Literature review

2021 ◽  
pp. 86-90
Author(s):  
N.V. Pasikova ◽  
◽  
I.V. Kuznetsov ◽  
Keyword(s):  
Differential Diagnosis ◽  
Clinical Symptoms ◽  
Anterior Segment ◽  
Corneal Edema ◽  
Surgical Instruments ◽  
Rare Occurrence ◽  
Drug Injection ◽  
Toxic Anterior Segment Syndrome ◽  
American Society ◽  
Methods Of Treatment

This review presents the literature data on the etiology, clinical symptoms, differential diagnosis and methods of treatment of toxic anterior segment syndrome (TASS) – one of the complications of eye surgery. Despite the rare occurrence, in severe cases, the syndrome leads to a significant and persistent decrease in vision. The recommendations proposed by the American Society of Cataract and Refractive Surgeons for the prevention of the syndrome allow to avoid its occurrence. Key words: corneal edema, toxic anterior segment syndrome, surgical instruments, intracameral drug injection.

scholarly journals Toxic Anterior Segment Syndrome after Foldable Artiflex Iris-Fixated Phakic Intraocular Lens Implantation

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Lucien A. M. van Philips
Keyword(s):  
Intraocular Lens ◽  
Anterior Segment ◽  
Topical Steroid ◽  
Steroid Treatment ◽  
Surgical Instruments ◽  
Intraocular Lens Implantation ◽  
Phakic Intraocular Lens ◽  
Lens Implantation ◽  
Toxic Anterior Segment Syndrome

Toxic anterior segment syndrome (TASS) developed in four cases after uneventful implantation of a foldable iris-fixated phakic intraocular lens (pIOL). Two cases occurred sequentially in one patient. The TASS subsided without complications in all cases after intensive topical steroid treatment. A multitude of possible causes is considered for the occurrence of these TASS cases. From the sterilization and cleaning of surgical instruments to the possibility of endotoxines in ophthalmic viscosurgical devices (OVD). These rare cases should alert the surgeon to the possibility of TASS after pIOL implantation.

Unusual Presentations of Ulnar Nerve Paresthesia: Mycotic Aneurysm and Leprosy

1996 ◽  
Vol 4 (4) ◽  
pp. 1-7
Author(s):  
Susan D Moffatt ◽  
Winston S Parkhill
Keyword(s):  
Plastic Surgery ◽  
Ulnar Nerve ◽  
Mycotic Aneurysm ◽  
Clinical Symptoms ◽  
Nerve Compression ◽  
Rare Occurrence ◽  
Common Occurrence ◽  
Canadian Hospital ◽  
Ulnar Nerve Compression

Ulnar nerve compression causing clinical symptoms is a common occurrence. There are numerous conditions that can cause compression. Recently two very interesting and unusual etiologies were seen at the Plastic Surgery service. Leprosy causing ulnar nerve compression is a rare occurrence in a Canadian hospital, and so is a case of palmar mycotic aneurysm in the postantibiotic era.

scholarly journals Toxic anterior segment syndrome following phakic posterior chamber IOL: a rarity

2018 ◽  
Vol 11 (1) ◽  
pp. bcr-2018-225806 ◽  
Author(s):  
Archita Singh ◽  
Noopur Gupta ◽  
Vinod Kumar ◽  
Radhika Tandon
Keyword(s):  
Intensive Therapy ◽  
Anterior Segment ◽  
Secondary Glaucoma ◽  
Sterile Inflammation ◽  
Posterior Chamber ◽  
Refractive Errors ◽  
Corneal Decompensation ◽  
Toxic Anterior Segment Syndrome ◽  
Idiosyncratic Response ◽  
Posterior Chamber Iol

Implantable collamer lenses (ICL) have gained popularity for correction of myopia where kerato-refractive procedures are not indicated as in cases of high myopic refractive errors. Toxic anterior segment syndrome (TASS) is a very uncommonly reported postoperative complication following ICL implantation. A young patient developed severe corneal oedema and anterior segment inflammation on the first day after ICL implantation. Analysing retrospectively, possible idiosyncratic response to intracameral pilocarpine was considered as a cause for TASS. Prompt and intensive therapy with oral and topical potent steroids was visually rewarding. TASS, though a sterile inflammation can have catastrophic sequelae such as corneal decompensation and secondary glaucoma. Hence, timely identification and management is important.

Cheilitis Granulomatosa Miescher: Treatment with Clofazimine and Review of the Literature

2001 ◽  
Vol 110 (10) ◽  
pp. 964-967 ◽  
Author(s):  
Gerd Jürgen Ridder ◽  
Milo Fradis ◽  
Erwin Löhle
Keyword(s):  
Differential Diagnosis ◽  
Young Woman ◽  
Alternative Treatment ◽  
Rare Condition ◽  
Review Of The Literature ◽  
Cheilitis Granulomatosa ◽  
Methods Of Treatment

Cheilitis granulomatosa Miescher is a rare condition of unknown cause characterized by intermittent lip swelling that gradually persists and causes cosmetic deformity. We report the case of a young woman with cheilitis granulomatosa as a monosymptomatic manifestation of Melkersson-Rosenthal syndrome successfully treated by the antileprosy agent clofazimine, and propose clofazimine as an alternative treatment in cases refractory to corticosteroids. The differential diagnosis and current methods of treatment are summarized, and the literature is reviewed and discussed.

scholarly journals Toxic anterior segment syndrome after uncomplicated cataract surgery possibly associated with intracamaral use of cefuroxime

2015 ◽  
pp. 493 ◽  
Author(s):  
Burçin Çakir ◽  
Erkan Celik ◽  
Nilgün Aksoy ◽  
Ozlem Bursalı ◽  
Turgay Uçak ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Anterior Segment ◽  
Toxic Anterior Segment Syndrome

Barium-induced toxic anterior segment syndrome

2021 ◽  
pp. 112067212110692
Author(s):  
Kenji Matsushita ◽  
Rumi Kawashima ◽  
Noriyasu Hashida ◽  
Yuki Hamano ◽  
Kazuo Harada ◽  
...  
Keyword(s):  
Mass Spectrometry ◽  
Inductively Coupled Plasma ◽  
Anterior Segment ◽  
Rapid Onset ◽  
Ocular Surgery ◽  
Inductively Coupled ◽  
Icp Ms ◽  
Plasma Mass Spectrometry ◽  
Baerveldt Glaucoma Implant ◽  
Toxic Anterior Segment Syndrome

Toxic anterior segment syndrome (TASS) is a rapid-onset inflammation of the eye following uneventful ocular surgery. We report a case of TASS following Baerveldt glaucoma implant (BGI) surgery. Inductively coupled plasma-mass spectrometry (ICP-MS) identified barium in the eye and in the eluate from the bleb of the BGI. We attribute TASS in our patient to the dissolution of barium from the BGI and its entry into the eye, where it causes severe inflammation.

Intermittent corneal edema due to anterior segment retained lens fragments

2007 ◽  
Vol 33 (6) ◽  
pp. 1136-1137 ◽  
Author(s):  
Ahmet T. Yazıcı ◽  
Vedat Kaya ◽  
Ercument Bozkurt ◽  
Serhat Imamoglu ◽  
Omer F. Yılmaz
Keyword(s):  
Anterior Segment ◽  
Corneal Edema

scholarly journals Rare incidence of non-secretory myeloma with talaromycosis: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Haiting Qin ◽  
Ye Qiu ◽  
Yanmei Huang ◽  
Mianluan Pan ◽  
Dong Lan ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Bone Marrow ◽  
Differential Diagnosis ◽  
Lymph Nodes ◽  
Clinical Symptoms ◽  
Subcutaneous Tissue ◽  
Community Acquired Pneumonia ◽  
Pathological Examination ◽  
Subcutaneous Nodules ◽  
Lung Lymph

Abstract Background Talaromyces marneffei (TM) primarily infects patients with co-morbidities that cause immunodeficiency, but non-secretory myeloma (NSMM) is rare. TSM and NSMM are associated with fever, osteolysis, and swollen lymph nodes, thereby making it difficult for clinicians to make differential diagnosis. In this case, we describe TM infection coexisting with NSMM. Case presentation We retrospectively reviewed the case of a male (without human immunodeficiency virus infection) with fever, thoracalgia, swollen lymph nodes, and subcutaneous nodules who presented to the First Affiliated Hospital of Guangxi Medical University in February 2014. Chest computed tomography revealed patchy infiltration and positron emission tomography/computed tomography showed increased metabolic activity in the lower-right lung, lymph nodes, left ninth rib, and right ilium. Pathological examination of the lung, lymph nodes, subcutaneous nodules, and bone marrow showed no malignancy, he was diagnosed with community-acquired pneumonia. His clinical symptoms did not improve after anti-bacterial, anti-Mycobacterium tuberculosis, and anti-non-M. tuberculosis treatment. Later, etiological culture and pathological examination of the subcutaneous nodule proved TM infection, and the patient was re-diagnosed with disseminated TSM, which involved the lungs, lymph nodes, skin, bone, and subcutaneous tissue. After antifungal treatment, the patient showed significant improvement, except for the pain in his bones. Imaging showed aggravated osteolysis, and bone marrow biopsy and immunohistochemistry indicated NSMM. Thus, we conclusively diagnosed the case as NSMM with TSM (involving the lungs, lymph nodes, skin, and subcutaneous tissue). His condition improved after chemotherapy, and he was symptom-free for 7 years. Conclusion TM infection is rare in individual with NSMM. Since they have clinical manifestation in common, easily causing misdiagnosis and missed diagnosis, multiple pathological examinations and tissue cultures are essential to provide a differential diagnosis.

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