AI Article Synopsis
- The study investigates the link between the viscoelastic material Multivisc BD and the occurrence of toxic anterior segment syndrome (TASS) after phakic intraocular lens (IOL) surgery.
- Two patients experienced severe inflammation in the anterior chamber after receiving an IOL, which was treated with antibiotics and steroids, leading to a complete resolution of inflammation and improved vision.
- The findings suggest that Multivisc BD may be contaminated by bacterial toxins, highlighting the need for refractive surgeons to be cautious about using new viscoelastic materials due to potential rare complications like TASS.
Article Abstract
Purpose: To report on the association between Multivisc BD and toxic anterior segment syndrome (TASS) post phakic intraocular lens (IOL) implantation.
Methods: Two patients developed severe toxic anterior chamber inflammation following implantation of phakic iris fixated IOL with Multivisc BD viscoelastic. Anterior chamber washout was performed with intracameral antibiotic injection. Local antibiotics were continued until cultures were found to be negative. Thereafter, intensive local and systemic steroids were initiated and gradually tapered down.
Results: The inflammatory reaction disappeared completely and the visual acuity improved from hand motion to 6/9 without correction within 1 week.
Conclusions: Any viscoelastic material may be contaminated by heat-stable bacterial endotoxic as it is prepared by gene-coded bacteria. It is suggested that Multivisc BD was the etiologic factor of TASS. Refractive surgeons should be aware of this rare complication of phakic IOL implantation whenever they use a new viscoelastic material.
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| http://dx.doi.org/10.1177/112067211002000229 | DOI Listing |
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