Bodnar et al. sought to assess how risk factors have changed for TASS over a decade, specifically before and after 2009. Their findings suggest that education and increased awareness of TASS may have improved preoperative sterilization practices (104). The Toronto Alexithymia Scale (TAS-20) is a self-report questionnaire that measures alexithymia. The TAS-20 was developed by Bagby, Parker, and Taylor (1994) and is one of the most widely used measures of alexithymia. In other words, the higher your score, the more alexithymic traits are present, and the more certainty there is that you clinically qualify for alexithymia. To access the assessment tool, visit the Gain Access tas 71 live page.
The incidence following cataract surgery is likely around 1 in 1,000 (1,58). Although there is no conclusive evidence supporting the use of topical antibiotic prophylaxis, these agents are very widely used. 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).
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- In spite of decreased surgical times and overall improved outcomes, endophthalmitis remains one of the most severe complications of ophthalmic surgery.
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The use of routine intracameral antibiotics has become more common in many areas of the world, although this usage remains controversial. Most cases of TASS are successfully treated with topical steroids, non-steroidal anti-inflammatory drops, or both.If not resolved after 6 weeks, permanent damage is more likely to occur. Tissue damage can result in vision loss.
The anterior chamber exhibited a 4+ inflammatory cell reaction without hypopyon (Figure 1B). The intraocular lens appeared centered with trace fibrin on the anterior surface. There was a poor view of the posterior pole due to the anterior segment inflammation, but no frank evidence of vitritis. In the last few decades, there has been a large increase in the number of ophthalmic procedures performed worldwide. With improved surgical techniques and new technologic advances, surgical outcomes continue to improve.
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Knowledge of clinical features and risk factors for post-operative endophthalmitis and TASS has increased. For both entities however, identifying the best methods of prevention remains important for improving visual outcomes after ophthalmic surgery. Intracameral antibiotics may be used in irrigating fluids or injected as a bolus at the conclusion of surgery (37), and their use for routine prophylaxis varies widely around the world (38). The statements in the TAS-20 are clear and easily understood, though a few are difficult for me to answer.
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