Toxic anterior-segment syndrome (TASS)

Figures & data

Table 1 Preoperative clinical findings

Case	Age	Sex	Eye	Type of cataract	Systemic disorder	Intraocular pressure	Best-corrected visual acuity (decimal, Snellen score)
1	67	F	OS	Grade 3 nuclear sclerosis	DM HT	19 mmHg	0.2
2	57	F	OD	Posterior subcapsular	None	17 mmHg	0.3
3	71	F	OS	Cortical	HT	12 mmHg	0.3
4	69	M	OD	Cortical	DM	13 mmHg	0.4
5	73	M	OS	Grade 3 nuclear sclerosis	HT	18 mmHg	0.1

Abbreviations: F, female; M, male; OD, oculus dexter (right eye); OS, oculus sinister (left eye); DM, diabetes mellitus; HT, hypertension.

Table 2 Postoperative clinical findings (first postoperative day)

Case	Corneal edema	Anterior-chamber reaction	Fibrin	Hypopyon	Pupil	Iris	Vitreous	IOP	BCVA (Snellen score)
1	Diffuse limbus to limbus	3+ WBC, 2+ flare	+	Present	Mid-dilated	Atrophic	No reaction	24 mmHg	0.05
2	Diffuse	2+ WBC, no flare	−	Absent	Reactive	Normal	No reaction	21 mmHg	0.1
3	Diffuse limbus to limbus	4+ WBC, 4+ flare	+	Present	Mydriatic	Atrophic	No reaction	27 mmHg	P^+P^+
4	Diffuse	2+ WBC, no flare	−	Absent	Reactive	Normal	No reaction	22 mmHg	0.1
5	Diffuse limbus to limbus	4+ WBC, 4+ flare	+	Present	Mydriatic	Atrophic	No reaction	29 mmHg	P^+P^+

Abbreviations: BCVA, best-corrected visual acuity; IOP, intraocular pressure; WBC, white blood cell; PP, perception, projection.

Table 3 Final outcomes

Case	BCVA	IOP	Final outcome
1	0.7	15 mmHg	No inflammation, no corneal edema
2	1	17 mmHg	No inflammation, no corneal edema
3	0.5	21 mmHg	Penetrating keratoplasty and persistent glaucoma
4	1	16 mmHg	No inflammation, no corneal edema
5	0.2	24 mmHg	Trabeculectomy and penetrating keratoplasty, and optic nerve damage

Abbreviations: BCVA, best-corrected visual acuity; IOP, intraocular pressure.