Pharmacologic pupil dilation as a predictive test for the risk for intraoperative floppy-iris syndrome

Intraoperative floppy-iris syndrome.

OBJECTIVE Intraoperative-floppy iris syndrome (IFIS) has been recently described. It has been demonstrated that this new syndrome complicates cataract surgery. In this paper we have reviewed the syndrome, and offer practical information specially related to the origin and management of this syndrome and we offer practical information. MATERIAL AND METHODS A review of the related medical liter...

The Intraoperative Floppy Iris Syndrome

A t the annual meeting of the ASCRS in April, John R. Campbell, MD, and I reported on two companion studies that we conducted to examine the incidence, characteristics, surgical outcomes, and etiology of floppy irides during cataract surgery.1,2 We named this condition the intraoperative floppy iris syndrome (IFIS) (Figures 1 to 3). Based upon retrospective observations by Dr. Campbell regardin...

Use of Malyugin pupil expansion device for intraoperative floppy-iris syndrome: results in 30 consecutive cases.

PURPOSE To evaluate a new disposable, small-pupil expansion device in tamsulosin patients with intraoperative floppy-iris syndrome (IFIS) having cataract surgery. SETTING Private practice, Los Altos, California, USA. METHODS The 5-0 polypropylene Malyugin pupil expansion device (MicroSurgical Technology) was used in 30 eyes from 21 tamsulosin patients having routine cataract surgery. The pu...

Silodosin-associated intraoperative floppy iris syndrome

Surgical Strategies for the Intraoperative Floppy Iris Syndrome

John R. Campbell MD and I recently reported on two companion studies that we undertook to study the incidence, characteristics, surgical outcomes, and etiology of floppy irides during cataract surgery1. We named this condition the intraoperative floppy iris syndrome (IFIS). Based upon retrospective observations by Dr. Campbell regarding a possible association with tamsulosin (Flomax®, Boehringe...