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Proper cleaning of surgical instruments and sterilization remain important for reducing rates of TASS (102). When povidone-iodine cannot be used for cataract surgery (although true allergy is rare), the use of topical chlorhexidine gluconate may be considered, although this agent may be toxic to the cornea (20,32). The TAS-20 is scored by summing the item scores. The total score can range from 20 to 100, with higher scores indicating a greater degree of alexithymia. Alexithymia is thought to be a risk factor for a number of mental and physical health problems, including depression, anxiety, cardiovascular disease, and chronic pain.
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Although endophthalmitis cannot be prevented completely, many preoperative, intraoperative, and postoperative strategies are helpful in prophylaxis. Common practices include antisepsis with povidone-iodine and prophylactic topical antibiotics. The use of routine intracameral antibiotics has become more common in many areas of the world, although this usage remains controversial. Most cases of TASS are successfully treated with topical steroids, non-steroidal anti-inflammatory drops, or both.If not resolved after 6 weeks, permanent damage is more likely to occur.
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“Limbus-to-limbus” corneal edema is characteristic of TASS and is uncommon for endophthalmitis. Other non-specific signs of anterior segment inflammation are common in both entities, such as anterior chamber cellular reaction, fibrin, and hypopyon (102). Toxic Anterior Segment Syndrome (TASS) is a rare and devastating complication of intraocular surgery.
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