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Toxic Anterior Segment Syndrome following Phacoemulsification Secondary to Overdose of Intracameral Gentamicin
Joint Authors
Koban, Yaran
Genc, Selim
Bilgin, Gorkem
Cagatay, Halil Huseyin
Ekinci, Metin
Gecer, Melin
Yazar, Zeliha
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-12-10
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
To report a case of toxic anterior segment syndrome (TASS) that was caused by inadvertent anterior chamber and cornea stromal injection with high dose gentamicin following cataract surgery.
Methods.
Case report.
Results.
We report a 72-year-old female patient who developed TASS that was caused by high dose gentamicin (20 mg/0.5 mL), which was inadvertently used during the formation of the anterior chamber and hydration of the corneal incision.
Unlike previous cases, hyphema and hemorrhagic fibrinous reaction were seen in the anterior chamber.
Despite treatment, bullous keratopathy developed and penetrating keratoplasty was performed.
The excised corneal button was sent for histopathological examination.
Conclusions.
Subconjunctival gentamicin is highly toxic to the corneal endothelium and anterior chamber structures.
Including it on the surgical table carries a potentially serious risk for contamination of the anterior chamber.
American Psychological Association (APA)
Koban, Yaran& Genc, Selim& Bilgin, Gorkem& Cagatay, Halil Huseyin& Ekinci, Metin& Gecer, Melin…[et al.]. 2014. Toxic Anterior Segment Syndrome following Phacoemulsification Secondary to Overdose of Intracameral Gentamicin. Case Reports in Medicine،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-1017149
Modern Language Association (MLA)
Koban, Yaran…[et al.]. Toxic Anterior Segment Syndrome following Phacoemulsification Secondary to Overdose of Intracameral Gentamicin. Case Reports in Medicine No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-1017149
American Medical Association (AMA)
Koban, Yaran& Genc, Selim& Bilgin, Gorkem& Cagatay, Halil Huseyin& Ekinci, Metin& Gecer, Melin…[et al.]. Toxic Anterior Segment Syndrome following Phacoemulsification Secondary to Overdose of Intracameral Gentamicin. Case Reports in Medicine. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-1017149
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1017149