Journal of Cataract & Refractive Surgery
Volume 35, Issue 11 , Pages 1849-1852, November 2009

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

  • Naing L. Tint, MRCOphth

      Affiliations

    • Corresponding Author InformationCorresponding author: Naing L. Tint, MRCOphth, Division of Ophthalmology and Visual Sciences, Queens Medical Centre, Derby Road, Nottingham NG7 2UH, United Kingdom.
    • ,
  • Aaron M. Yeung, MRCOphth
    • ,
  • Philip Alexander, MRCOphth

From the Division of Ophthalmology and Visual Sciences (Tint, Yeung), University of Nottingham, and the Department of Ophthalmology (Tint, Alexander), Queens Medical Centre, Nottingham, United Kingdom

Received 16 April 2009; received in revised form 2 June 2009; accepted 5 June 2009.

Tamsulosin is an α1-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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 No author has a financial or proprietary interest in any material or method mentioned

PII: S0886-3350(09)00753-6

doi:10.1016/j.jcrs.2009.06.020

Journal of Cataract & Refractive Surgery
Volume 35, Issue 11 , Pages 1849-1852, November 2009

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