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A case of toxic anterior segment syndrome following cataract surgery with adjunct use of indocyanine green Ichiro Watanabe 1 , Junko Ochi 1 , Yoshiaki Ieki 1 , Junichi Kiryu 1 1Dept of Ophthalmol,Kawasaki Med Sch pp.1105-1109
Published Date 2011/7/15
DOI https://doi.org/10.11477/mf.1410103751
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Abstract. Purpose:To report a case of toxic anterior segment syndrome following cataract surgery with adjunct use of indocyanine green(ICG). Case:A 70-year-old female was referred for suspected infectious endophthalmitis. She had received cataract surgery using ICG 2 days before. Findings:Corrected visual acuity was 0.15. The affected eye showed corneal edema,folds in Descemet membrane,and cells and fibrin in the anterior chamber. TASS was suspected as subjective symptoms were disproportionately moderate in comparison to objective findings. Topical corticosteroid was not effective. No causative microorganism was isolated from the aqueous. Vitrectomy was performed to remove the presumedly present ICG 7 days after her initial visit. The patient was discharged after rapid improvement 9 days later with final visual acuity of 1.5. Conclusion:This case illustrates that early surgery may be effective for TASS when the underlying cause is reasonably identifiable.


Copyright © 2011, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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