An Unusual Case of Toxic Anterior Segment Syndrome: A Case Report

Abstract

An uncommon but serious postoperative complication following ocular surgery, particularly cataract surgery, is the Toxic Anterior Segment Syndrome (TASS). Early onset inflammation and a variety of ocular symptoms, endangering patient's vision are its defining features. Topical antiseptics in general, talc in surgical gloves, topical eye drops, highly protein-containing Ocular Viscosurgical Devices (OVDs), OVD residues on instruments, inadequate phaco hand piece cleansing following surgery and prior to thermo-disinfection, and tap water are other common culprits. We describe a peculiar TASS situation that we faced in our setup and then how it was handled. The insight gained might be useful for ophthalmic surgeons.