PA PSRS Patient Saf Advis 2007 Mar;4(1):24.
Follow Up on TASS

Toxic anterior segment syndrome (TASS) is a rare but serious complication of intraocular surgery that occurs when a non-infectious toxic agent enters the anterior segment of the eye and causes an inflammatory reaction. Since June 2004, ambulatory surgical facilities have submitted at least 15 reports of TASS to PA-PSRS, and at least three facilities have reported multiple cases. TASS incidence is difficult to pin-point for several reasons, including that TASS is often confused with and treated as infectious endophthalmitis. (More information on TASS is included in the December 2006 PA-PSRS Patient Safety Advisory.

“Get the Facts on Toxic Anterior Segment Syndrome,” an educational program focusing on diagnosis, treatment, and prevention of toxic anterior segment syndrome (TASS), is available from http://www.tassfacts.com.The educational program, which is available either upon registration at the program’s Web site or in a multimedia CD format, also includes discussion about TASS etiology, accounts of TASS cases, steps for proper care and treatment of surgical instruments, special considerations for sterilizers, and best practices for education and prevention.

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