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- Investigators at one center found an ointment containing gentamicin and betamethasone as a likely cause of eight TASS related cases, performed by the same surgeon.
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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. For example, number 10—Being in touch with emotions is essential.
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Although endophthalmitis cannot be prevented completely, many preoperative, intraoperative, and postoperative strategies are helpful in prophylaxis. Common practices include antisepsis with povidone-iodine and prophylactic topical antibiotics. 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.
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