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毒性前房综合征的演变。

The evolution of toxic anterior segment syndrome.

机构信息

Department of Ophthalmology, Rabin Medical Center, Petach Tikva.

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

出版信息

Curr Opin Ophthalmol. 2019 Jan;30(1):50-55. doi: 10.1097/ICU.0000000000000540.

Abstract

PURPOSE OF REVIEW

Toxic anterior segment syndrome (TASS) is a surgical complication resulting from a noninfectious inflammatory reaction to substances used during intraocular ophthalmic surgery. Continuous reporting of new information concerning risk factors and possible causes is critical for preventing this condition.

RECENT FINDINGS

The diagnosis of TASS is clinical and its main features are well known. However, new causes of TASS are emerging and being reported, as are new treatment options for managing the inflammation or its complications, and prevention guidelines are being updated. This article presents current and novel information regarding these topics.

SUMMARY

Educating the medical community regarding potential causes of TASS and its prevention is necessary for improving management of TASS. Thorough investigations and reports of TASS cases are a fundamental step in achieving this goal. Still, as the complete eradication of TASS solely through prevention is unlikely, further studies regarding TASS's pathophysiology, systemic and ocular risk factors, and new treatment options are necessary.

摘要

目的综述

毒性前节综合征(TASS)是一种手术并发症,由眼内眼科手术中使用的物质引起的非传染性炎症反应引起。不断报告有关危险因素和可能原因的新信息对于预防这种情况至关重要。

最近的发现

TASS 的诊断是临床的,其主要特征是众所周知的。然而,新的 TASS 原因正在出现并被报告,以及管理炎症或其并发症的新治疗选择,预防指南正在更新。本文介绍了关于这些主题的最新和新颖的信息。

总结

教育医学界潜在的 TASS 原因及其预防措施对于改善 TASS 的管理是必要的。彻底调查和报告 TASS 病例是实现这一目标的基本步骤。然而,由于仅通过预防完全消除 TASS 不太可能,因此有必要进一步研究 TASS 的病理生理学、系统性和眼部危险因素以及新的治疗选择。

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