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. Endophthalmitis and TASS cannot be prevented completely, but their rates may be decreased through risk reduction strategies supported by peer-reviewed evidence. This review highlights the current tas 71 evidence in the prevention strategies for postoperative endophthalmitis and TASS. A 73-year-old man presented one day after uncomplicated cataract extraction with intraocular lens implant in the right eye.
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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 page.
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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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The TAS-20 has been shown to be a reliable and valid measure of alexithymia, and it has been used in a variety of research studies and clinical settings. She was diagnosed at 46, and her autism plays a significant role in who she is as a doctor, and how she interacts with and cares for her patients and clients. Also, pay attention to which of the subscales you score highest in. The TAS-20 uses cutoff scoring, with scores of 52–60 indicating possible alexithymia, and scores above 60 indicating alexithymia. 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.
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