There was tashkathur a poor view of the posterior pole due to the anterior segment inflammation, but no frank evidence of vitritis. In the last few decades, there has been a large increase in the number of ophthalmic procedures performed worldwide. With improved surgical techniques and new technologic advances, surgical outcomes continue to improve. However, postoperative endophthalmitis and toxic anterior segment syndrome (TASS) remain important challenges. Both endophthalmitis and TASS can present as severe postoperative inflammation, and clinical characteristics may be used to differentiate between the two (Table 1). Without prompt treatment, both may lead to poor visual outcomes.

• Typical presentations include blurred vision within 12–48 hours of surgery without salient complaints of pain; in general, TASS patients present sooner than do patients with endophthalmitis.
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Preoperative factors include uncontrolled blepharitis or other ocular surface disease, diabetes mellitus, an immunocompromised state, infectious foci near the surgical site, and advanced age (5,10-12). Intraoperative factors include large-incision extracapsular cataract extraction, clear cornea incision, posterior capsule rupture with or without vitreous loss, and a less experienced surgeon (3,10-13). Some authors report the non-use of intracameral antibiotics as a risk factor, but the overall benefit of intracameral antibiotics remains controversial, especially in the US (14-16). Postoperative factors include early wound leak (17,18). Clinical diagnosis is made based on many factors.

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This includes digital, mobile, and web. Play the most popular Indian card games with real money bets. Treatment with topical methylprednisolone every hour and polymyxin B sulfate/trimethoprim every four hours to the affected eye was initiated. By post-operative day five, visual acuity had improved to 20/60 and a slow taper of the topical steroid was initiated. At post-operative week six, visual acuity had improved to 20/30 in the affected eye. Although most surgeons have abandoned intracameral use of agents containing preservatives, inadvertent administration of these preservatives may result in TASS.

Tissue damage can result in vision loss. Most TASS patients respond well to topical corticosteroids (such as 1% Prednisolone acetate) given hourly. Mild or early cases will respond to steroids rapidly as evidenced by clearing of the inflammation and decrease in intraocular pressure.

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