Toksik Ön Segment Sendromu için Yeni Bir Etken: Fibrin Yapıştırıcı

Objectives: To present a potential cause for toxic anterior segment syndrome (TASS).\udMaterials and Methods: We report 4 cases of TASS that occurred following uneventful phacoemulsification and intraocular lens\udimplantation.\udResults: The 4 cases were the first consecutive 2 cases of 2 different surgery days, 5 months apart. The most prominent sign of TASS\udwas limbus-to-limbus corneal edema. Pain and/or intraocular pressure rise were also common. All surgical and presurgical procedures\udwere checked after the first outbreak, whereas the second outbreak required further investigation. Fibrin glue remnants from preceding\udpterygium surgery with conjunctival autografting were found to be the potential cause. Despite intensive corticosteroid therapy, corneal\udedema did not resolve in 2 patients who underwent keratoplasty.\udConclusion: TASS is a sight-threatening condition which requires thorough investigation for prevention of new cases. All steps must\udbe carefully revised. (Turk J Ophthalmol 2014; 44: 280-3