Toxic anterior segment syndrome after Verisyse iris-supported phakic intraocular lens implantation.
We report a case of toxic anterior segment syndrome (TASS) after implantation of a Verisyse (AMO) iris-supported phakic intraocular lens (IOL). The patient presented the day after surgery with significant decreased visual acuity and severe, persistent, limbus-to-limbus corneal edema. After treatment with topical steroids, oral steroids, nonsteroidal antiinflammatory agents, and hypertonic solution, the edema resolved over the course of 2 months and best corrected visual acuity improved to 20/20. Toxic anterior segment syndrome has been reported after implantation of IOLs previously, but this new case of TASS should alert surgeons to the possibility of the syndrome after phakic IOL placement.
Moshirfar
Majid
M
John A. Moran Eye Center, University of Utah, Salt Lake City, Utah 84132, USA. majid.moshirfar@hsc.utah.edu
Whitehead
George
G
Beutler
Barry C
BC
Mamalis
Nick
N
D000328:Adult; D000869:Anterior Eye Segment / Q000473:pathology*; D015715:Corneal Edema / Q000209:etiology*; D009877:Endophthalmitis / Q000209:etiology*; D005260:Female; D006801:Humans; D007498:Iris / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D007908:Lens, Crystalline / Q000502:physiology*; D007910:Lenses, Intraocular / Q000009:adverse effects; D013577:Syndrome