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The association between toxic anterior segment syndrome and intraocular pressure
- Source :
- Graefe's Archive for Clinical and Experimental Ophthalmology. 259:425-430
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- To investigate the association between toxic anterior segment syndrome (TASS) and intraocular pressure (IOP). This is a retrospective, controlled, single-site study. Patients who developed TASS following a clear corneal incision cataract surgery in Rabin Medical Center (Petah Tikva, Israel), between the years 2010–2018, were enrolled. The primary outcome was IOP measured 1, 7 (± 2), and 30 (± 7) days after surgery. The need for ocular hypotensive treatment was the secondary outcome. The study and control groups included 374 and 127 eyes, respectively. The mean IOP in the study and the control groups were 16.3 ± 7.1 and 15.3 ± 3.0 (p = 0.02) at day 1, 13.2 ± 5.0 and 13.7 ± 2.9 (p = 0.18) at day 7, and 13.7 ± 4.1 and 13.5 ± 2.8 (p = 0.65) at day 30. Prevalence of high IOP (> 21 mmHg) was significantly higher in the study group solely on the first postoperative day (12.7% and 3.2%, p = 0.002). In the study group, 9%, 3.7%, and 1.6% of the patients required hypotensive medications at day 1, 7, and 30, respectively. Four patients (~ 1%) in the study group developed acute angle closure due to pupillary block, 1–3 weeks after surgery and required laser iridotomy and topical treatment. High IOP is considered a concerning characteristic of the late stages of TASS although such association lack supporting evidence. This study did not detect such an association. High IOP was found only in a small group of TASS patients in the early perioperative period.
- Subjects :
- Pupillary block
Intraocular pressure
medicine.medical_specialty
genetic structures
business.industry
medicine.medical_treatment
Glaucoma
Perioperative
Toxic anterior segment syndrome
Cataract surgery
medicine.disease
eye diseases
Sensory Systems
03 medical and health sciences
Cellular and Molecular Neuroscience
Ophthalmology
0302 clinical medicine
Laser iridotomy
Primary outcome
030221 ophthalmology & optometry
medicine
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 1435702X and 0721832X
- Volume :
- 259
- Database :
- OpenAIRE
- Journal :
- Graefe's Archive for Clinical and Experimental Ophthalmology
- Accession number :
- edsair.doi...........143cbd59d5ae9b6c87deb373ae79b0cd