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Others are difficult because—I’m unsure how I feel about the statement! Some, I have no experience on which to base a response. That seems to be a lot of issues in only 20 statements, but the total Alexithymia score does appear to be accurate, in that it reflects the challenges I deal with.

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Intraoperative factors include large-incision extracapsular cataract extraction, clear cornea incision, posterior capsule rupture with or without vitreous loss, and a less experienced surgeon (3,10-13). Some authors report the non-use of intracameral antibiotics as a risk factor, but the overall benefit of intracameral antibiotics remains controversial, especially in the US (14-16). Postoperative factors include early wound leak (17,18). Clinical diagnosis is made based on many factors. The physician should note the time of onset after eye surgery in conjunction with the patient’s symptoms. The anterior chamber should be examined carefully for anterior chamber reaction, intraocular pressure and severity of vision loss.

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Knowledge of clinical features and risk factors for post-operative endophthalmitis and TASS has increased. For both entities however, identifying the best methods of prevention remains important for improving visual outcomes after ophthalmic surgery. Intracameral antibiotics may be used in irrigating fluids or injected as a bolus at the conclusion of surgery (37), and their use for routine prophylaxis varies widely around the world (38). The statements in the TAS-20 are clear and easily understood, though a few are difficult for me to answer.