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Review
. 2022 Jan 1;33(1):3-8.
doi: 10.1097/ICU.0000000000000815.

Dealing with floppy iris syndrome

Sally S E Park  1 , Sam Wilkinson, Nick Mamalis
Affiliations
Review

Dealing with floppy iris syndrome

Sally S E Park et al. Curr Opin Ophthalmol. .

Abstract

Purpose of review: The aim of this study was to review and summarize recent findings and advancements regarding intraoperative floppy iris syndrome (IFIS). Although many improvements have been made for the management of IFIS, it remains a challenging condition for surgeons. An understanding of the syndrome as well as the multitude of tools to mitigate risk of complication is important for surgeons operating on high-risk patients.

Recent findings: A variety of management approaches have been modified and improved or further supported with new data, such as intracameral compounds, intraoperative devices and surgical techniques.

Summary: An understanding of risk factors is important for the identification of at-risk patients. A variety of approaches can greatly reduce incidence of IFIS complications. Multiple management strategies should be utilized to further reduce risk during these difficult surgeries.

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References

    1. Chang DF, Campbell JR. Intraoperative floppy iris syndrome associated with tamsulosin. J Cataract Refract Surg 2005; 31:664–673.
    1. Chang DF, Osher RH, Wang L, Koch DD. Prospective multicenter evaluation of cataract surgery in patients taking tamsulosin (Flomax). Ophthalmology 2007; 114:957–964.
    1. Chatziralli IP, Peponis V, Parikakis E, et al. Risk factors for intraoperative floppy iris syndrome: a prospective study. Eye (Lond) 2016; 30:1039–1044.
    1. Storr-Paulsen A, Jorgensen JS, Norregaard JC, Thulesen J. Corneal endothelial cell changes after cataract surgery in patients on systemic sympathetic alpha-1a antagonist medication (tamsulosin). Acta Ophthalmol 2014; 92:359–363.
    1. Narvaez J, Kronberg BP, Park H, et al. Pupil dilation using a standard cataract surgery regimen alone or with atropine 1.0% pretreatment: prospective comparative evaluation. J Cataract Refract Surg 2010; 36:563–567.