International Review of Ophthalmology

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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

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.