PT  - JOURNAL ARTICLE
AU  - Archita Singh
AU  - Noopur Gupta
AU  - Vinod Kumar
AU  - Radhika Tandon
TI  - Toxic anterior segment syndrome following phakic posterior chamber IOL: a rarity
AID  - 10.1136/bcr-2018-225806
DP  - 2018 Nov 01
TA  - BMJ Case Reports
PG  - bcr-2018-225806
VI  - 11
IP  - 1
4099  - http://casereports.bmj.com/content/11/1/bcr-2018-225806.short
4100  - http://casereports.bmj.com/content/11/1/bcr-2018-225806.full
SO  - BMJ Case Reports2018 Nov 01; 11
AB  - Implantable collamer lenses (ICL) have gained popularity for correction of myopia where kerato-refractive procedures are not indicated as in cases of high myopic refractive errors. Toxic anterior segment syndrome (TASS) is a very uncommonly reported postoperative complication following ICL implantation. A young patient developed severe corneal oedema and anterior segment inflammation on the first day after ICL implantation. Analysing retrospectively, possible idiosyncratic response to intracameral pilocarpine was considered as a cause for TASS. Prompt and intensive therapy with oral and topical potent steroids was visually rewarding. TASS, though a sterile inflammation can have catastrophic sequelae such as corneal decompensation and secondary glaucoma. Hence, timely identification and management is important.