A number of TASS cases have been shown to be the result of deficiencies in the methods used for rinsing chemicals from instrument surfaces and the debris resulting from phacoemulsification eye surgical instrument procedures.
The cleaning chemicals used during the cleaning process can be a factor in causing TASS. Eye surgical instrument cleaning detergents, enzymes, and residual metallic ions that are left on the eye surgical instruments, as a result of inadequate cleaning and rinsing, have been implicated.
Eye surgical instrument cleaners should be neutral pH and free-rinsing to facilitate having residue free eye surgical instruments. This can be instrumental in preventing TASS.
Heat-stable bacterial endotoxins in sterilizer reservoirs may contaminate eye surgical instruments. Denatured viscoelastic materials trapped in eye surgical instruments and cannulas can also result in TASS. Redundant rinses, during the eye surgical instrument cleaning process, can be instrumental in preventing TASS. The ONEcleaner 'free rinsing" product will effectively remove phacoemulsification eye surgical instrument bebris. ONEcleaner eye surgical instrument cleaners were originally designed with free rinsing ingredients that deliver residue free eye surgical instruments.
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