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Throughout our system, we have 7 water tanks that have a combined total storage of 8.4 million gallons. TASS provides water to over 5,000 residential, 336 commercial, 36 industrial, and 5 wholesale customers. We have 3 wholesale wastewater customers and over 500 residential wastewater customers. Our 5 wholesale customers make up over 60% of our water production, servicing a combined total of over 14,100 customers. Of note, in a major outbreak of 147 eyes published by Oshika et al, 29.3% cases required surgery, including irrigation of the anterior chamber, vitrectomy, and IOL removal.
The anterior chamber exhibited a 4+ inflammatory cell reaction without hypopyon (Figure 1B). The intraocular lens appeared centered with trace fibrin on the anterior surface. There was a poor view of the posterior pole due to the anterior segment inflammation, but no frank evidence of vitritis. In the last few decades, there has been a large increase in the number of ophthalmic procedures performed worldwide. With improved surgical techniques and new technologic advances, surgical outcomes continue to improve.
Importantly, there is commonly not a source identified for TASS, as in this case. Institutional awareness and prompt reporting of TASS should be a priority upon diagnosis. Slit lamp photograph of a patient with TASS.
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