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Case Reports
. 2022 Apr 4;13(1):234-242.
doi: 10.1159/000523889. eCollection 2022 Jan-Apr.

Two Cases of Consecutive Toxic Anterior Segment Syndrome after Uneventful Trabeculectomy Surgeries in a Tertiary Center

Tatiana M Gil-Martínez  1 , María J Herrera  1 , Vanessa Vera  2
Affiliations
Case Reports

Two Cases of Consecutive Toxic Anterior Segment Syndrome after Uneventful Trabeculectomy Surgeries in a Tertiary Center

Tatiana M Gil-Martínez et al. Case Rep Ophthalmol. .

Abstract

Toxic anterior segment syndrome (TASS) is a severe, acute, sterile intraocular inflammation that occurs the same day or in the early stages after intraocular surgery. It has been most commonly reported after phacoemulsification. We report 2 cases that developed TASS after sequential uneventful trabeculectomy surgeries, in which a quaternary ammonium compound was used for the disinfection of surgical instruments. Good outcomes were achieved, possibly related to the fast treatment initiation.

Keywords: Glaucoma; Toxic anterior segment syndrome; Trabeculectomy.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Fig. 1
Fig. 1
Slit lamp image showing right eye, postoperative day one with severe conjunctival hyperemia, moderate corneal edema, central fibrin mesh, and hypopyon present in the AC.
Fig. 2
Fig. 2
Slit lamp image at postoperative day two showing improvement of corneal edema and hypopyon with fibrin mesh shrinkage.
Fig. 3
Fig. 3
Slit lamp image at week one postoperatory with transillumination, showing significant improvement of hypopyon and cornea edema.
Fig. 4
Fig. 4
Slit lamp image at month one after surgery, showing clear cornea and absence of hypopyon (complete recovery).
Fig. 5
Fig. 5
Visual field sequence OD from June 2019, March 2020 to November 2020, showing visual field progression.
Fig. 6
Fig. 6
Slit lamp image showing day one, right eye with conjunctival hyperemia 360°, hypopyon (a) and moderate corneal edema (b).
Fig. 7
Fig. 7
Slit lamp image at day two showing improvement of corneal edema and worsening of hypopyon.
Fig. 8
Fig. 8
Slit lamp image at week one showing prominent superior bleb (a), clear cornea and absence of hypopyon (b, c).
See this image and copyright information in PMC

References

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