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Although these entities cannot be prevented completely, their rates may be decreased through risk tas 71 reduction strategies supported by peer-reviewed evidence. Clinical outcomes of TASS are better with prompt diagnosis and treatment with topical corticosteroids and possibly cycloplegics. Typical presentations include blurred vision within 12–48 hours of surgery without salient complaints of pain; in general, TASS patients present sooner than do patients with endophthalmitis. “Limbus-to-limbus” corneal edema is characteristic of TASS and is uncommon for endophthalmitis. Other non-specific signs of anterior segment inflammation are common in both entities, such as anterior chamber cellular reaction, fibrin, and hypopyon (102). Toxic Anterior Segment Syndrome (TASS) is a rare and devastating complication of intraocular surgery.

No clutter, no confusion — just tap and play. Improved surgical techniques have led to an increase in the number of outpatient ophthalmic procedures. In spite of decreased surgical times and overall improved outcomes, endophthalmitis remains one of the most severe complications of ophthalmic surgery. Although there are well known risk factors for postoperative endophthalmitis, some prophylaxis strategies remain controversial. A category of noninfectious postoperative inflammation, known as toxic anterior segment syndrome (TASS), is a rare but important complication of cataract surgery. While several worldwide outbreaks of TASS have occurred, it is challenging to identify an etiology in order to reduce the risk of further cases.

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Many studies report a significant reduction of conjunctival flora with the use of topical antibiotics, but it is uncertain if this reduction actually decreases endophthalmitis rates (34). In the ESCRS trial, there was no significant difference in endophthalmitis rates among patients who received perioperative topical levofloxacin compared with patients who did not (3). A systematic review and meta-analysis of randomized controlled trials and observational studies performed failed to find any evidence supporting the use of postoperative topical antibiotics after ocular surgery (35). Nevertheless, these agents remain very widely used (36).

• Your highest average subtype score indicates what part of alexithymia you have the greatest challenge with.
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The Toronto Alexithymia Scale (TAS-20) is a 20-item, self-administered questionnaire that measures difficulty in identifying and describing emotions, which is a big part of alexithymia. Talkabout Assessment of Social Skills (TASS) is an assessment tool using a software programme which allows education and healthcare professionals to input and analyse the assessment of social skills. It gathers information from key sources to provide a holistic view of a person’s social communication and uses rating scales to enable quantitative analysis of intervention. Do you battle with clunky systems that waste your time, and data silos creating frustration and inefficiency?

In cases of moderate TASS, the clearing may take up to 3-6 weeks. TASS is an activation of  inflammatory cascades in the anterior chamber in response to external material or inappropriate solutions during cataract surgery. The response is typically apparent and symptomatic hours after surgery. Severe inflammatory reactions in response to the contamination, toxins, imbalanced solutions, medications or preservatives in the medications. This is a sterile anterior segment reaction. There is no bacterial or fungal infection, although one potential cause of the inflammatory reaction is secondary to bacterial endotoxins.

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In terms of the TAS-20, I like that it is short and quick to take. However, I wish that a 7-point Likert scale was used instead of a 5-point scale. Going from agree or disagree to neither agree nor disagree is too significant a jump for myself. I would like to see slightly agree and slightly disagree included. I score 48, which means I do not have alexithymia.

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