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TASS is a non-infectious postoperative inflammation that occurs most commonly after cataract surgery but also may occur following keratoplasty and posterior segment procedures (52-55). It was first described in 1980 when nine eyes with intraocular lenses containing residual polishing compound on their surface developed sterile hypopyon (56,57). The incidence of TASS is difficult to estimate as it is uncommon and manifests both sporadically and in clustered outbreaks. The incidence following cataract surgery is likely around 1 in 1,000 (1,58). Although there is no conclusive evidence supporting the use of topical antibiotic prophylaxis, these agents are very widely used.
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- Late-onset TASS has also been reported.
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It is important to note that bevacizumab is used off-label for various ocular conditions, and the levels of both endotoxin and silicone oil in the lot met industry standards for intravenous use at that time. Despite the severity of intraocular inflammation in the setting anti-VEGF injections, the prognosis is often favorable (89). The most common causative organisms causing acute-onset postoperative endophthalmitis are gram-positive bacteria, accounting for 94.2% of culture-positive cases in the EVS.
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