Surgical Strategies for the Intraoperative Floppy Iris Syndrome
نویسنده
چکیده
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®, BoehringerIngelheim Pharmaceuticals, Inc., Ridgefield, CT), we attempted to evaluate IFIS with both a retrospective and a prospective study. Because there is no mention of any such syndrome in the literature, we were not even sure how to define this syndrome at first. Surgical Strategies for the Intraoperative Floppy Iris Syndrome
منابع مشابه
ASCRS White Paper: clinical review of intraoperative floppy-iris syndrome.
Intraoperative floppy-iris syndrome (IFIS) is associated with the use of systemic alpha(1)-antagonists, and tamsulosin in particular. The incidence and severity of IFIS are variable; however, the syndrome is associated with a higher rate of cataract surgical complications, especially when the condition is not recognized or anticipated. Questioning cataract patients preoperatively about current ...
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Four years after intraoperative floppy iris syndrome (IFIS) was first described,1 there is still no clear preference among ophthalmologists for the surgical management of these cases, according to a survey conducted last year by the ASCRS Cataract Clinical Committee.2 In fact, when asked to name their preferred single method for IFIS, the most common response (33%) was “always employ multiple s...
متن کاملModified Surgical Techniques for Managing Intraoperative Floppy Iris Syndrome
Purpose. To report a modified surgical strategy in the management of intraoperative floppy iris syndrome-associated iris prolapse. Methods. Prolapsed iris is left as is and a new corneal incision near the original wound but at a different site is created. Depending on the location of the original incision and the surgeon's preference, this additional incision can be used as a new port for phaco...
متن کاملPathophysiology and Pre-Operative Evaluation of Patients at Risk for Intraoperative Floppy Iris Syndrome (IFIS)
Intraoperative Floppy Iris Syndrome (IFIS) has received a significant amount of attention and subsequent research since it was first reported in 2005 (Bell et al., 2009; Blouin et al., 2007; Chang & Campbell, 2005; Chang et al., 2007; Oshika et al., 2007; Srinivasan et al., 2007; Takmaz & Can, 2007). Current and former uses of alpha-1 adrenergic receptor (α1AR) antagonists—most notably tamsulos...
متن کاملThe 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...
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