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白内障术中虹膜松弛综合征的危险因素及预防

华夏 汤欣 苑晓勇   

  1. 300211天津医科大学第二医院眼科(华夏);300020 天津市眼科医院 眼科学与视觉科学天津市重点实验室 天津医科大学眼科临床学院(汤欣、苑晓勇)
  • 收稿日期:2018-04-22 出版日期:2018-08-22 发布日期:2018-08-28
  • 通讯作者: 苑晓勇,Email: yuanxy_cn@hotmail.com E-mail:yuanxy_cn@hotmail.com

Risk factor and prevention of intraoperative floppy iris syndrome

HUA Xia1, TANG Xin2, YUAN Xiao-yong   

  1.  1. Department of Ophthalmology, Second Hospital of Tianjin Medical University, Tianjin 300211, China; 2. Tianjin Eye Hospital, Tianjin Key Laboratory of Ophthalmology and Visual Sciences, Clinical College of Ophthalmology, Tianjin Medical University, Tianjin 300020, China
  • Received:2018-04-22 Online:2018-08-22 Published:2018-08-28
  • Contact: YUAN Xiao-yong, Email: yuanxy_cn@hotmail.com E-mail:yuanxy_cn@hotmail.com

摘要:

虹膜松弛综合征(floppy iris syndrome,IFIS)大约发生于2%的白内障术眼,增加了白内障手术的难度与风险。其发生主要与α1肾上腺素能受体拮抗剂和部分抗高血压药物的应用有关,而高血压等全身状态也可能参与其发生。针对存在这些危险因素,同时术中又表现出虹膜松弛隆起、进行性瞳孔缩小、虹膜自切口脱出的IFIS病例,前房内注射α1肾上腺素能激动剂、黏弹剂、虹膜牵开器、瞳孔扩张器等多种措施和操作的合理应用,将极大减少手术并发症的发生。

Abstract:

Intraoperative floppy iris syndrome (IFIS) occurs in 2% of cataract surgeries. Its occurrence is mainly related to the application of alpha 1 adrenergic receptor antagonist and some antihypertensive medications, and the genenal condition such as hypertension may also participate in it. In response to these already known risk factors, IFIS cases with iris floppy, progressive pupil reduction and self prolapsing from the surgical incisions, the combined application of a variety of techniques and treatments, as alpha 1 adrenergic activator, viscoelastic agent, iris retractor, pupil dilator and so on, would greatly reduce the related complications.