Toxic anterior segment syndrome

Moulick, P.S.; Reddy, Sridhara; Gurunadh, V.S.; Mohindra, V.K.

doi:10.1016/j.mjafi.2014.01.004

Cited by 6 publications

(3 citation statements)

References 8 publications

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“…In the TASS case,the etiology and toxic substances were not found. TASS often occurs after cataract surgery [11,12] , it also developed after other ocular surgeries such as keratoplasty [13] ,ICL implantation [14] , Trabeculectomy [15] , pterygium surgery [16] and posterior segment surgeries [17] .…”

Section: Discussionmentioning

confidence: 99%

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Severe toxic anterior segment syndrome with ocular hypotony: a case report and literature review

Zhu,

Zhou,

Zhu

2024

Preprint

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Background To report a rare case of severe toxic anterior segment syndrome with ocular hypotony after uneventful cataract surgery. Case presentation Toxic anterior segment syndrome (TASS) is an infrequent complication of ocular surgery.Here,we reported a rare TASS case with ocularhypotony after uneventful cataract surgery.A 62-year-old male was presented to our clinic for blurred vision in the right eye.The patient was diagnosed with age-related cataract and the phacoemulsification and intraocular lens implantation was performed uneventfully in the right eye.On the first postoperative day,the diffuse cornea edema and dilated pupil were present in the right eye with a tentative diagnosis of TASS.The medication administration was inffective in the case.The patient developed corneal decompensation 1 year after cataract surgery.Given the resulting corneal edema, the patient underwent Penetrating keratoplasty (PKP),fibrin membrane removal and goniosynechialysis were performed simultaneously.Ocularhypotony developed unexpectedly 2 weeks after PKP and maintained steadily in the case.Ultrasound biomicroscopy (UBM)showed the ciliary body atrophy.Optical coherence tomography (OCT)showed chorioretinal folds caused by hypotony maculopathy after PKP.To the best of our knowledge, we first reported the TASS case with ocularhypotony. Conclusions In the TASS case,the ocular hypotony was thought to be due to severe atrophy of ciliary body caused by uncertain toxic substance.

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Section: Discussionmentioning

confidence: 99%

“…The secondary glaucoma may become medically refractory and should probably require surgical intervention. Moulick reported a patient with TASS who developed IOP of 26 mmHg and had to undergo trabeculectomy after no response to medication [29] .…”

Section: Discussionmentioning

confidence: 99%

Severe toxic anterior segment syndrome with ocular hypotony: a case report and literature review

Zhu,

Zhou,

Zhu

2024

Preprint

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“…Differential diagnoses for TASS include infectious endophthalmitis and uveitis [ 13 ]. While for NVG, they include retinal detachment, intraocular tumors, and uveitis.…”

Section: Discussionmentioning

confidence: 99%

Murphy’s Law and Ophthalmic Complications in a Patient With Type 1 Diabetes Mellitus

Barkhane¹,

Qureshi²,

Ahmed³

et al. 2023

Cureus

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Diabetes can lead to various acute clinical complications, although the occurrence of ophthalmic signs and symptoms is uncommon. Neovascular glaucoma (NG), a rare complication associated with diabetes mellitus, is one such condition. Additionally, anti-vascular endothelial growth factor (VEGF)-induced toxic anterior segment syndrome (TASS) is a rare complication of intravitreal bevacizumab.In this case report, we present a unique case of a patient with juvenile diabetes (type 1 diabetes mellitus) who presented to the emergency room (ER) with typical features of diabetic ketoacidosis (DKA) accompanied by bilateral ocular pain. Subsequent investigation revealed secondary angle-closure neovascular glaucoma as the underlying cause. The patient received management for DKA in the ER and subsequent medicine ward. Various interventions were performed for glaucoma in the right eye, including addressing cataracts, which ultimately resulted in TASS. The patient was successfully treated with cryo-diode laser therapy.

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Tsaousis

Guan

et al. 2020

Posterior Segment Complications of Cataract Surgery

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Toxic anterior segment syndrome – A sequel of uneventful cataract surgery

Cited by 6 publications

References 8 publications

Severe toxic anterior segment syndrome with ocular hypotony: a case report and literature review

Severe toxic anterior segment syndrome with ocular hypotony: a case report and literature review

Murphy’s Law and Ophthalmic Complications in a Patient With Type 1 Diabetes Mellitus

Toxic Anterior Segment Syndrome

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