TY - JOUR T1 - Toxic anterior segment syndrome following phakic posterior chamber IOL: a rarity JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2018-225806 VL - 11 IS - 1 SP - bcr-2018-225806 AU - Archita Singh AU - Noopur Gupta AU - Vinod Kumar AU - Radhika Tandon Y1 - 2018/11/01 UR - http://casereports.bmj.com/content/11/1/bcr-2018-225806.abstract N2 - 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. ER -