PURPOSE To assess the incidence and possible causative factors of a newly recognized syndrome, the intraoperative floppy iris (IFIS). SETTING Clinical practices in Los Altos and San Rafael, California, USA. METHODS A retrospective chart review of consecutive cataract surgeries performed in a 2-surgeon practice over a 12-month period (706 eyes; 511 patients) was used to assess the percentage...

α-BlOcKeRS anD iFiS Tamsulosin was reportedly introduced in Japan in 1993, in the United Kingdom in 1997, and in the United States in 1997. Gupta et al related the popularity of the drug to its high affinity for the α1A receptor, which explains the lower incidence of adverse cardiovascular events in patients taking tamsulosin compared with less selective α-adrenergic blockers.3 Additionally, th...

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...