Toxic anterior segment syndrome following deep anterior lamellar keratoplasty

Detalhes bibliográficos
Autor(a) principal: Sevimli,Neslihan
Data de Publicação: 2016
Outros Autores: Karadag,Remzi, Cakici,Ozgur, Bayramlar,Huseyin, Okumus,Seydi, Sari,Unsal
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Arquivos brasileiros de oftalmologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492016000500330
Resumo: ABSTRACT We present the case of a 31-year-old patient with toxic anterior segment syndrome (TASS) that developed after undergoing deep anterior lamellar keratoplasty (DALK). She had keratoconus, and despite wearing hard contact lenses for many years in the left eye, her vision had deteriorated; therefore, DALK was performed on this eye. The preoperative visual acuity (VA) was finger counting at 3 m. Routine DALK was performed using the "big-bubble" technique. The corneal entry incision was hydrated at the end of the surgery, which was terminated by air injection into the anterior chamber. On postoperative day 1, VA was at the level of hand movements, and the cornea was edematous. Topical high-dose dexamethasone and oral steroids were initiated considering the diagnosis of TASS. Subsequently, the patient's VA increased, and the corneal edema decreased. We believe that the use of re-sterilized cannulas may have been the likely cause of TASS. Although DALK can be performed without interfering with the anterior chamber, one should keep in mind that TASS may occur in response to the solution used to hydrate the incision site and the air injected into the anterior chamber.
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spelling Toxic anterior segment syndrome following deep anterior lamellar keratoplastyKeratoplastyAnterior eye segment/pathologyKeratoconusCorneal transplantationABSTRACT We present the case of a 31-year-old patient with toxic anterior segment syndrome (TASS) that developed after undergoing deep anterior lamellar keratoplasty (DALK). She had keratoconus, and despite wearing hard contact lenses for many years in the left eye, her vision had deteriorated; therefore, DALK was performed on this eye. The preoperative visual acuity (VA) was finger counting at 3 m. Routine DALK was performed using the "big-bubble" technique. The corneal entry incision was hydrated at the end of the surgery, which was terminated by air injection into the anterior chamber. On postoperative day 1, VA was at the level of hand movements, and the cornea was edematous. Topical high-dose dexamethasone and oral steroids were initiated considering the diagnosis of TASS. Subsequently, the patient's VA increased, and the corneal edema decreased. We believe that the use of re-sterilized cannulas may have been the likely cause of TASS. Although DALK can be performed without interfering with the anterior chamber, one should keep in mind that TASS may occur in response to the solution used to hydrate the incision site and the air injected into the anterior chamber.Conselho Brasileiro de Oftalmologia2016-10-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492016000500330Arquivos Brasileiros de Oftalmologia v.79 n.5 2016reponame:Arquivos brasileiros de oftalmologia (Online)instname:Conselho Brasileiro de Oftalmologia (CBO)instacron:CBO10.5935/0004-2749.20160094info:eu-repo/semantics/openAccessSevimli,NeslihanKaradag,RemziCakici,OzgurBayramlar,HuseyinOkumus,SeydiSari,Unsaleng2016-11-30T00:00:00Zoai:scielo:S0004-27492016000500330Revistahttp://aboonline.org.br/https://old.scielo.br/oai/scielo-oai.phpaboonline@cbo.com.br||abo@cbo.com.br1678-29250004-2749opendoar:2016-11-30T00:00Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)false
dc.title.none.fl_str_mv Toxic anterior segment syndrome following deep anterior lamellar keratoplasty
title Toxic anterior segment syndrome following deep anterior lamellar keratoplasty
spellingShingle Toxic anterior segment syndrome following deep anterior lamellar keratoplasty
Sevimli,Neslihan
Keratoplasty
Anterior eye segment/pathology
Keratoconus
Corneal transplantation
title_short Toxic anterior segment syndrome following deep anterior lamellar keratoplasty
title_full Toxic anterior segment syndrome following deep anterior lamellar keratoplasty
title_fullStr Toxic anterior segment syndrome following deep anterior lamellar keratoplasty
title_full_unstemmed Toxic anterior segment syndrome following deep anterior lamellar keratoplasty
title_sort Toxic anterior segment syndrome following deep anterior lamellar keratoplasty
author Sevimli,Neslihan
author_facet Sevimli,Neslihan
Karadag,Remzi
Cakici,Ozgur
Bayramlar,Huseyin
Okumus,Seydi
Sari,Unsal
author_role author
author2 Karadag,Remzi
Cakici,Ozgur
Bayramlar,Huseyin
Okumus,Seydi
Sari,Unsal
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Sevimli,Neslihan
Karadag,Remzi
Cakici,Ozgur
Bayramlar,Huseyin
Okumus,Seydi
Sari,Unsal
dc.subject.por.fl_str_mv Keratoplasty
Anterior eye segment/pathology
Keratoconus
Corneal transplantation
topic Keratoplasty
Anterior eye segment/pathology
Keratoconus
Corneal transplantation
description ABSTRACT We present the case of a 31-year-old patient with toxic anterior segment syndrome (TASS) that developed after undergoing deep anterior lamellar keratoplasty (DALK). She had keratoconus, and despite wearing hard contact lenses for many years in the left eye, her vision had deteriorated; therefore, DALK was performed on this eye. The preoperative visual acuity (VA) was finger counting at 3 m. Routine DALK was performed using the "big-bubble" technique. The corneal entry incision was hydrated at the end of the surgery, which was terminated by air injection into the anterior chamber. On postoperative day 1, VA was at the level of hand movements, and the cornea was edematous. Topical high-dose dexamethasone and oral steroids were initiated considering the diagnosis of TASS. Subsequently, the patient's VA increased, and the corneal edema decreased. We believe that the use of re-sterilized cannulas may have been the likely cause of TASS. Although DALK can be performed without interfering with the anterior chamber, one should keep in mind that TASS may occur in response to the solution used to hydrate the incision site and the air injected into the anterior chamber.
publishDate 2016
dc.date.none.fl_str_mv 2016-10-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492016000500330
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492016000500330
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.5935/0004-2749.20160094
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dc.publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
dc.source.none.fl_str_mv Arquivos Brasileiros de Oftalmologia v.79 n.5 2016
reponame:Arquivos brasileiros de oftalmologia (Online)
instname:Conselho Brasileiro de Oftalmologia (CBO)
instacron:CBO
instname_str Conselho Brasileiro de Oftalmologia (CBO)
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institution CBO
reponame_str Arquivos brasileiros de oftalmologia (Online)
collection Arquivos brasileiros de oftalmologia (Online)
repository.name.fl_str_mv Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)
repository.mail.fl_str_mv aboonline@cbo.com.br||abo@cbo.com.br
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