眼前节毒性反应综合征的研究进展
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摘要
眼前节毒性综合征(toxic anterior segment syndrome,TASS)是一种眼前节急性非感染性的炎症反应。临床相对少见,但近年来,随着眼前节手术的发展,TASS有逐渐增多的趋势。手术中进入前房的各种非感染性物质均可能导致TASS的发生。大多数患者经及时、有效治疗后预后良好,但少数可遗留永久性眼内组织损伤,以至于影响视力。现从TASS的病理、诊断及鉴别诊断、病因、预防、治疗和预后等方面对其予以综述。
Toxic anterior segment syndrome(TASS) is a kind of acute and non-infective anterior segment inflammatory reaction.It's relatively rare for clinic,but recently,TASS is in increasing tendency with the development of anterior segment surgery.During surgery,various non-infective maters entering the anterior chamber all could result the appearance of TASS.After timely and effective treatment,most patients have favorable prognosis,however,a few patients may have remained permanent intraocular tissues damage to the extent of influencing eyesight.Now,this thesis summarizes the pathology,diagnosis,differential diagnosis,pathogenesis,prevention,treatment,prognosis etc.of TASS.
Toxic anterior segment syndrome(TASS) is a kind of acute and non-infective anterior segment inflammatory reaction.It's relatively rare for clinic,but recently,TASS is in increasing tendency with the development of anterior segment surgery.During surgery,various non-infective maters entering the anterior chamber all could result the appearance of TASS.After timely and effective treatment,most patients have favorable prognosis,however,a few patients may have remained permanent intraocular tissues damage to the extent of influencing eyesight.Now,this thesis summarizes the pathology,diagnosis,differential diagnosis,pathogenesis,prevention,treatment,prognosis etc.of TASS.
引文
1 Moisseiev E,Barak A.Toxic anterior segment syndrome outbreak after vitrectomy and silicone oil injection.Eur J Ophthalmol 2012;22(5):803-807
2 Sato T,Emi K,Ikeda T,et al.Severe intraocular inflammation after intravitreal injection of bevacizumab.Ophthalmology 2010;117(3):512-516
3 Mamalis N,Edelhauser HF,Dawson DG,et al.Toxic anterior segmentsyndrome.J Cataract Refract Surg 2006;32(2):324-333
4 Cetinkaya S,Dachaci Z,Aksoy H,et al.Toxic anterior-segment syndrome(TASS).Clin Ophthalmol 2014;8(3):2065-2069
5张玉光,王旭,韩旭光,等.TECD综合征的临床研究.中国实用眼科杂志2001;19(11):829-831
6谢立信,黄钰森.眼前节毒性反应综合征的临床诊治.中华眼科杂志2008;44(12):1149-1151
7宋宏鲁,王超英,刘迎庆,等.眼内炎16例临床分析.国际眼科杂志2013;13(9):1896-1897
8胡小坤,罗添场,韩雅玲,等.感染性眼内炎早期诊治分析.中国实用眼科杂志2013;31(8):1045-1047
9温良,王禹,孙笑,等.眼前节毒性反应综合征的临床诊治.中国实用眼科杂志2012;30(3):326-328
10 Kutty PK,Forster TS,Wood-Koob C,et al.Muhistate outbreak of toxic anterior segment syndrome.J Cataract Refract Surg 2008;34(4):585-590
11王红星,韩倩,张琰,等.眼内灌注液对眼内组织影响研究进展.中国实用眼科杂志2014;32(10):1140-1142
12 Liu H,Routley I,Teichmannn KD.Toxic endothelial cell destruction from intraocular benzalkonium chloride.J Cataract Refract Surg 2001;27(16):1746-1750
13张士胜,廖华萍,王康孙.毒性眼前节综合征.国际眼科纵览2007;31(2):221-225
14 Caklr B,Celik E,Aksoy N(O|¨),et al.Toxic anterior segment syndrome after uncomplicated cataract surgery possibly associated with intracamaral use of cefuroxime.J Clin Ophthalmoly 2015;9(4):493-497
15杨蕾蕾,李嘉丽.毒性眼前节综合征.中国眼耳鼻喉科杂志2008;8(1):63-64
16 Guze YM,Satic IA,Doga NZ.The effects of bupivacaine and lidocaine on the corneal endothelium when applied into the anterior chamber at the concentrations supplied commercially.Ophthalmology2002;216(2):113-117
17 Heuermann T,Hartman C,Anders N.Long-term endothelial cell loss after phacoemulsification:peribulbar anesthesia versus intracamerallidocaine 1%:prospective randomized clinical trial.J Cataract Refract Surg 2002;28(4):639-643
18樊廷俊,温茜,于苗苗,等.盐酸奥布卡因对人角膜内皮细胞影响作用的实验研究.国际眼科杂志2012;12(8):1442-1446
19 Tandogan T,Khoramnia R,Uwe Auffarth G,et al.Impact of Indocyanine Green Concentration,Exposure Time,and Degree of Dissolution in Creating Toxic Anterior Segment Syndrome:Evaluation in a Rabbit Model.J Ophthalmol 2016;2016:3827050
20 Althomali TA.Viscoelastic substance in prefilled syringe as an etiology of Toxic Anterior Segment Syndrome.J Cutan Ocul Toxicol 2016;35(3):237-241
21 Werner L.Sher JH,Taylor JR.Toxic anterior segment syndrome and possible associations with ointment in the anterior chamberfollwing cataract surgery.J Cataract Refract Surg 2006;32(2):227-235
22 Lockington D,Macdonald EC,Young D,et al.Presence of free radicals in intracameral agents commonly used during cataract surgery.Br J Ophthalmol 2010;94(12):1674-1677
23 Parikh C,Sippy BD,Martin DF.Effects of enzymatic sterilization detergents on the corneal endothelium.Arch Ophthalmol 2002;120(2):165-172
24 Werner L,Sher JH,Taylor JR,et al.Toxic anterior segment syndrome and possible association with ointment in the anterior chamber following cataract surgery.J Cataract Refract Surg 2006;32(2):227-235
25 Wbitby JL,Hitchins VM.Endotoxin levels in Stefan and reservoirs of table-top steam sterilizers.J Refract Surg 2002;18(1):51-57
26 Sorenson AL,Sorenson RL,Evans DJ,et al.Toxic anterior segment syndrome caused by autoclave reservoir wall biofilms and their residual toxins.J Cataract Refract Surg 2016;42(11):1602-1614
27 Duffy RE,Brown SE,Caldwell KL.An epidemic of corneal destruction caused by plasma gas sterilization,the Toxic Endothelial Cell Destruction Syndrome Investigative Team.Arch Ophthalmol2000;118(10):1167-1176
28 Kumaran N,Larkin G,Holliek EJ.Sterile postoperative endophthalmitis following HOYA IOL insertion.Eye(Loud)2014;28(11):1382
29 Kokuzawa S,Suemori S,Mochizuki K,et al.Aspergillus cubing-nests endophthalmitis after cataract surgery with implantation of pre-loaded intraocular lens.Semin Ophthalmol 2014;29(4):218-221
30 Miyake G,Ota I,Miyake K,et al.Late-onset toxic anterior segment syndrome.J Cataract Refract Surg 2015;41(3):666-669
31 Gopal L,Vijaya L.Toxic anterior segment syndrome.J Ophthalmol2013;97(8):953
32孙菲,肖天林,刘晓强.前房异物导致眼前节毒性反应综合征1例.国际眼科杂志2011;11(1):189-190
33 Koh SW,Waschek JA.Corneal endothelial cell survival in organ cultures under acute oxidative stress:effect of VIP.Invest Ophthalmol Vis Sci 2000;41(13):4085-4092
34 Mamalis N,Edelhauser HF,Dawson DG,et al.Toxic anterior segment syndrome.J Cataract Refract Surg 2006;32(2):324-333
35 Dotan A,Kaiserman I,Kremer I,et al.Intracameral recombinant tissue plasminogen activator(r-tPA)for refractory toxic anterior segment syndrome.Br J Ophthalmol 2014;98(2):252-255
36黄钰森,代云海,谢立信.眼前节毒性反应综合征一例.中华眼科杂志2008;44(10):1128-1129
2 Sato T,Emi K,Ikeda T,et al.Severe intraocular inflammation after intravitreal injection of bevacizumab.Ophthalmology 2010;117(3):512-516
3 Mamalis N,Edelhauser HF,Dawson DG,et al.Toxic anterior segmentsyndrome.J Cataract Refract Surg 2006;32(2):324-333
4 Cetinkaya S,Dachaci Z,Aksoy H,et al.Toxic anterior-segment syndrome(TASS).Clin Ophthalmol 2014;8(3):2065-2069
5张玉光,王旭,韩旭光,等.TECD综合征的临床研究.中国实用眼科杂志2001;19(11):829-831
6谢立信,黄钰森.眼前节毒性反应综合征的临床诊治.中华眼科杂志2008;44(12):1149-1151
7宋宏鲁,王超英,刘迎庆,等.眼内炎16例临床分析.国际眼科杂志2013;13(9):1896-1897
8胡小坤,罗添场,韩雅玲,等.感染性眼内炎早期诊治分析.中国实用眼科杂志2013;31(8):1045-1047
9温良,王禹,孙笑,等.眼前节毒性反应综合征的临床诊治.中国实用眼科杂志2012;30(3):326-328
10 Kutty PK,Forster TS,Wood-Koob C,et al.Muhistate outbreak of toxic anterior segment syndrome.J Cataract Refract Surg 2008;34(4):585-590
11王红星,韩倩,张琰,等.眼内灌注液对眼内组织影响研究进展.中国实用眼科杂志2014;32(10):1140-1142
12 Liu H,Routley I,Teichmannn KD.Toxic endothelial cell destruction from intraocular benzalkonium chloride.J Cataract Refract Surg 2001;27(16):1746-1750
13张士胜,廖华萍,王康孙.毒性眼前节综合征.国际眼科纵览2007;31(2):221-225
14 Caklr B,Celik E,Aksoy N(O|¨),et al.Toxic anterior segment syndrome after uncomplicated cataract surgery possibly associated with intracamaral use of cefuroxime.J Clin Ophthalmoly 2015;9(4):493-497
15杨蕾蕾,李嘉丽.毒性眼前节综合征.中国眼耳鼻喉科杂志2008;8(1):63-64
16 Guze YM,Satic IA,Doga NZ.The effects of bupivacaine and lidocaine on the corneal endothelium when applied into the anterior chamber at the concentrations supplied commercially.Ophthalmology2002;216(2):113-117
17 Heuermann T,Hartman C,Anders N.Long-term endothelial cell loss after phacoemulsification:peribulbar anesthesia versus intracamerallidocaine 1%:prospective randomized clinical trial.J Cataract Refract Surg 2002;28(4):639-643
18樊廷俊,温茜,于苗苗,等.盐酸奥布卡因对人角膜内皮细胞影响作用的实验研究.国际眼科杂志2012;12(8):1442-1446
19 Tandogan T,Khoramnia R,Uwe Auffarth G,et al.Impact of Indocyanine Green Concentration,Exposure Time,and Degree of Dissolution in Creating Toxic Anterior Segment Syndrome:Evaluation in a Rabbit Model.J Ophthalmol 2016;2016:3827050
20 Althomali TA.Viscoelastic substance in prefilled syringe as an etiology of Toxic Anterior Segment Syndrome.J Cutan Ocul Toxicol 2016;35(3):237-241
21 Werner L.Sher JH,Taylor JR.Toxic anterior segment syndrome and possible associations with ointment in the anterior chamberfollwing cataract surgery.J Cataract Refract Surg 2006;32(2):227-235
22 Lockington D,Macdonald EC,Young D,et al.Presence of free radicals in intracameral agents commonly used during cataract surgery.Br J Ophthalmol 2010;94(12):1674-1677
23 Parikh C,Sippy BD,Martin DF.Effects of enzymatic sterilization detergents on the corneal endothelium.Arch Ophthalmol 2002;120(2):165-172
24 Werner L,Sher JH,Taylor JR,et al.Toxic anterior segment syndrome and possible association with ointment in the anterior chamber following cataract surgery.J Cataract Refract Surg 2006;32(2):227-235
25 Wbitby JL,Hitchins VM.Endotoxin levels in Stefan and reservoirs of table-top steam sterilizers.J Refract Surg 2002;18(1):51-57
26 Sorenson AL,Sorenson RL,Evans DJ,et al.Toxic anterior segment syndrome caused by autoclave reservoir wall biofilms and their residual toxins.J Cataract Refract Surg 2016;42(11):1602-1614
27 Duffy RE,Brown SE,Caldwell KL.An epidemic of corneal destruction caused by plasma gas sterilization,the Toxic Endothelial Cell Destruction Syndrome Investigative Team.Arch Ophthalmol2000;118(10):1167-1176
28 Kumaran N,Larkin G,Holliek EJ.Sterile postoperative endophthalmitis following HOYA IOL insertion.Eye(Loud)2014;28(11):1382
29 Kokuzawa S,Suemori S,Mochizuki K,et al.Aspergillus cubing-nests endophthalmitis after cataract surgery with implantation of pre-loaded intraocular lens.Semin Ophthalmol 2014;29(4):218-221
30 Miyake G,Ota I,Miyake K,et al.Late-onset toxic anterior segment syndrome.J Cataract Refract Surg 2015;41(3):666-669
31 Gopal L,Vijaya L.Toxic anterior segment syndrome.J Ophthalmol2013;97(8):953
32孙菲,肖天林,刘晓强.前房异物导致眼前节毒性反应综合征1例.国际眼科杂志2011;11(1):189-190
33 Koh SW,Waschek JA.Corneal endothelial cell survival in organ cultures under acute oxidative stress:effect of VIP.Invest Ophthalmol Vis Sci 2000;41(13):4085-4092
34 Mamalis N,Edelhauser HF,Dawson DG,et al.Toxic anterior segment syndrome.J Cataract Refract Surg 2006;32(2):324-333
35 Dotan A,Kaiserman I,Kremer I,et al.Intracameral recombinant tissue plasminogen activator(r-tPA)for refractory toxic anterior segment syndrome.Br J Ophthalmol 2014;98(2):252-255
36黄钰森,代云海,谢立信.眼前节毒性反应综合征一例.中华眼科杂志2008;44(10):1128-1129