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Case Reports
. 2011:2011:982410.
doi: 10.1155/2011/982410. Epub 2011 Jun 5.

Toxic anterior segment syndrome after foldable artiflex iris-fixated phakic intraocular lens implantation

Lucien A M van Philips  1
Affiliations
Case Reports

Toxic anterior segment syndrome after foldable artiflex iris-fixated phakic intraocular lens implantation

Lucien A M van Philips. J Ophthalmol. 2011.

Abstract

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.

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Figures

Figure 1
Figure 1
Toxic anterior segment syndrome (TASS) in the right eye, one day after implantation of a foldable Artiflex pIOL.
Figure 2
Figure 2
Cell deposits on the posterior surface of a foldable Artiflex phakic pIOL in the right eye, two months after surgery. The TASS has subsides.
Figure 3
Figure 3
Severe fibrinous reaction one day after foldable toric pIOL implantation in the anterior chamber.
Figure 4
Figure 4
Pigment deposits on the posterior surface of a foldable toric Artiflex pIOL one week after surgery.
See this image and copyright information in PMC

References

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