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Toxic anterior segment syndrome after V4C Phakic IOL

Poster Details

First Author: s.eissa SAUDI ARABIA

Co Author(s):                  

Abstract Details

Purpose:

To describe a case report of TASS presented in left eye 3 days following V4C visian ICL implantation OU.

Setting:

Magrabi Aseer Hospital-KSA

Methods:

Patient presented with red eye ,acute diminution of vision,severe pain OS , 3 DAYS following ICL (V4C)implantation OU. On examination: VA :20/22 OD , PL OS IOP : 35 mm Hg on Aphagan gtt bid Fibrinous membrane in AC , iris deposits on ICL, Severe diffuse stromal and epithelial corneal edema (from limbus to limbus) U/S: No vitreous reaction d.d. endophthalmitis pupillary block glaucoma management: hourly predforte gtt, mannitol IV, ATROPINE gtt Alphagan bid Cosopt tidVA

Results:

Improved to 20/100 within 3 days, IOP 22 mmHg,Clearing cornea, dilated fixed pupil,anterior subcapsular cataract. 3 weeks postoperatively VA improved to 20/40 unaided with totally cleared cornea and IOP of 16 mmHg on Cosopt and Alphagan gtt.

Conclusions:

First day postoperative follow up is crucial in patients post visian ICL . TASS syndrome should be put in differential diagnosis of anterior uveitis with corneal edema following anterior segment surgery ,especially in absence of vitreous reaction postoperatively .

Financial Disclosure:

NONE

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