Fourth, the vitreal opacity was more severe after intravitrealinjection. Fifth, the right eye improved with steroid treat-ment. Sixth, problems of a similar nature did not occur inother patients who were operated on the same day. Andseventh, IgE and IgG levels in the vitreous fluid were ele-vated: IgE was 10 IU/mL (not detectable in normal vitre-ous) and IgG was 410 mg/dL (normal 3.35 ± 0.3 mg/dL).5
We recommend that the possibility of TASS be con-sidered in cases of inflammation after cataract surgery; insevere cases, it is important to delay operating on thesecond eye.
REFERENCES
1. Monson MC, Mamalis N, Olson RJ. Toxic anterior segmentinflammation following cataract surgery. J Cataract RefractSurg 1992;18:184–9.
2. Jehan FS, Mamalis N, Spencer TS, Fry LL, Kerstine RS, OlsonRJ. Postoperative sterile endophthalmitis (TASS) associated withthe memorylens. J Cataract Refract Surg 2000;26:1773–7.
3. Werner L, Sher JH, Talyor JR, et al. Toxic anterior segment
syndrome and possible association with ointment in the ante-rior chamber following cataract surgery. J Cataract RefractSurg 2006;32:227–35.
4. Bilge AH, Aykan U, Akin T, Unsal U. Review of sterile post-operative, anterior segment inflammation following cataractextraction and intraocular lens implantation. Eur JOphthalmol 2005;15:224–7.
5. Clausen R, Weller M, Wiedemann P, Heimann K, HilgersRD, Zilles K. An immunochemical quantitative analysis of theprotein pattern in physiologic and pathologic vitreous. GraefesArch Clin Exp Ophthalmol 1991;229:186–90.
Su-Young Kim, Young-Hoon Park, Hyun-Seung Kim,Young-Chun Lee
Department of Ophthalmology and Visual ScienceCollege of Medicine, Catholic University of Korea
Seoul, [email protected]
Can J Ophthalmol 2007;42:490–1
doi: 10.3129/can j ophthalmol.i07-067
Correspondence
CAN J OPHTHALMOL—VOL. 42, NO. 3, 2007 491
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