Toxic anterior segment syndrome after cataract surgery: the implications for nursing

Authors

  • Reginaldo Adalberto Luz Professor da Escola de Enfermagem da Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP
  • Maria Clara Padoveze Prof.ª Dra. no Departamento de Enfermagem em Saúde Coletiva, Escola de Enfermagem, Universidade de São Paulo, USP
  • Rafael Queiroz de Souza Professor de Pós-graduação do Centro Universitário São Camilo.
  • Kazuko Uchikawa Graziano Professora Titular do Departamento de Enfermagem Médico-Cirúrgica da Escola de Enfermagem da USP.
  • Tadeu Cvintal Médico Oftalmologista do Instituto de Oftalmologia Tadeu Cvintal.

DOI:

https://doi.org/10.5327/Z1414-4425201500020005

Keywords:

Extração de catarata, Enfermagem perioperatória, Vigilância epidemiológica, Esterilização, Endoftalmite

Abstract

Objective: To describe the characteristics of the toxic anterior segment syndrome (TASS) and its implications for nursing actions. Method: It is a literature review through research in the MEDLINE (Medical Literature Analysis and Retrieval System Online) and LILACS (Latin American and Caribbean Center on Health Sciences Information) databases. Results: TASS is an acute ocular inflammatory reaction after ophthalmic surgeries, mainly cataract surgery. The clinical signs in the first 12 hours after the surgery include corneal edema, presence of cells in the anterior chamber, increased intraocular pressure, and irregular pupil. The main causes are related to noninfectious substances introduced into the patient’s eye by products used during surgery or due to failures in cleaning and sterilization of surgical instruments. Conclusion: The implications for nursing consist of preventive measures, staff training, orienting the patients, and active epidemiological surveillance aimed at the early identification of warning signs of TASS. Keywords: Cataract extraction. Perioperative nursing. Epidemiological surveillance. Sterilization. Endophthalmitis.

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Published

2015-06-01

How to Cite

Luz, R. A., Padoveze, M. C., Souza, R. Q. de, Graziano, K. U., & Cvintal, T. (2015). Toxic anterior segment syndrome after cataract surgery: the implications for nursing. Revista SOBECC, 20(2), 96–103. https://doi.org/10.5327/Z1414-4425201500020005

Issue

Vol. 20 No. 2 (2015)

Section

REVIEW ARTICLES

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