Report of a Cluster of Cases of Toxic Anterior-segment Syndrome After Implantation of a Specific Intraocular Lens Model
Autor: | Katsue Imamachi, Yoshifumi Ikeda, Masaki Tanito, Kazunobu Sugihara, Yotaro Matsuoka |
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Rok vydání: | 2021 |
Předmět: |
Pars plana
medicine.medical_specialty genetic structures Minimally invasive glaucoma surgery medicine.medical_treatment Acrylic Resins Intraocular lens Vitrectomy Prosthesis Design Fibrin 03 medical and health sciences Postoperative Complications 0302 clinical medicine Anterior Eye Segment Ophthalmology medicine Humans Aged Retrospective Studies 030304 developmental biology Lenses Intraocular Endophthalmitis 0303 health sciences Phacoemulsification biology business.industry Syndrome Middle Aged Toxic anterior segment syndrome Cataract surgery medicine.disease eye diseases medicine.anatomical_structure Acute Disease 030221 ophthalmology & optometry biology.protein Female sense organs business Intraocular lens model Tomography Optical Coherence |
Zdroj: | American Journal of Ophthalmology. 228:1-7 |
ISSN: | 0002-9394 |
DOI: | 10.1016/j.ajo.2021.03.024 |
Popis: | Purpose To report a cluster of cases of toxic anterior-segment syndrome (TASS) in eyes implanted with a specific foldable acrylic intraocular lens (IOL) model. Design Retrospective case series. Methods The medical records were reviewed for 7 eyes of 4 patients diagnosed with TASS after cataract surgery at Shimane University and Matsue Red Cross Hospital between July and November 2020. Results Among the 162 eyes implanted with the Lentis Comfort/LS-313 MF15 IOL, acute anterior chamber (AC) inflammation with fibrin formation developed 1-15 days after uneventful surgeries in 7 (4.3%) eyes (cataract surgery alone, n=4 eyes; combined cataract and minimally invasive glaucoma surgery, n=3 eyes). Other than local steroid use, fibrin membrane removal, YAG laser membranotomy, pars plana vitrectomy, and AC washout were performed to treat inflammation and/or secondary angle closure due to pupillary obstruction. Conclusion We experienced a cluster of TASS cases in eyes implanted with the Lentis Comfort/LS-313 MF15 IOL in a short period of time. To our knowledge, this is the first report of TASS associated with this IOL. |
Databáze: | OpenAIRE |
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