Department of Ophthalmology, St. Paul's Hospital, The Catholic University of Korea, Seoul, Korea.
J Cataract Refract Surg. 2010 Feb;36(2):344-6. doi: 10.1016/j.jcrs.2009.07.052.
We report a case of toxic anterior segment syndrome (TASS) that developed after cataract surgery. A 78-year-old woman had uneventful phacoemulsification via a clear corneal incision with implantation of an acrylic intraocular lens. One day postoperatively, diffuse corneal edema and anterior chamber inflammation were evident. Topical antibiotic and steroid eyedrops were prescribed. The anterior chamber reaction decreased considerably, but corneal edema persisted. After a thorough investigation, the antiseptic solution used to soak surgical instruments before subsequent surgery was identified as the source of the problem.
我们报告了一例白内障手术后发生的毒性前节综合征（TASS）。一名 78 岁女性行透明角膜切口白内障超声乳化吸除术，术中植入丙烯酸人工晶状体，手术过程顺利。术后 1 天，患者出现弥漫性角膜水肿和前房炎症。给予局部抗生素和皮质类固醇滴眼剂治疗。前房反应明显减轻，但角膜水肿持续存在。经过彻底调查，确定导致问题的原因是用于浸泡手术器械的消毒剂。
