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Management of intraoperative floppy-iris syndrome-associated iris prolapse using a single iris retractor


Management of intraoperative floppy-iris syndrome-associated iris prolapse using a single iris retractor



Journal of Cataract and Refractive Surgery 35(11): 1849-1852



ISSN/ISBN: 0886-3350

PMID: 19878813

DOI: 10.1016/j.jcrs.2009.06.020

Tamsulosin is an alpha(1)-adrenergic antagonist known to be linked with intraoperative floppy-iris syndrome (IFIS), which is characterized by iris atonicity and a propensity toward progressive intraoperative pupil constriction and iris prolapse. We present 2 strategies for managing IFIS-associated iris prolapse. Placement of a single subincisional iris retractor following reposition of the prolapsed iris was the more successful approach. We recommend consideration of this approach in all cases of iris prolapse.

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Accession: 054243190

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