Intraoperative floppy iris syndrome: Difference between revisions
CSV import |
CSV import |
||
| (2 intermediate revisions by the same user not shown) | |||
| Line 1: | Line 1: | ||
{{Infobox medical condition | |||
| name = Intraoperative floppy iris syndrome | |||
| synonyms = IFIS | |||
| field = [[Ophthalmology]] | |||
| symptoms = [[Floppy iris]], [[miosis]], [[iris prolapse]] | |||
| complications = [[Cataract surgery complications]] | |||
| onset = During [[cataract surgery]] | |||
| duration = Temporary, during surgery | |||
| causes = [[Alpha-1 adrenergic receptor antagonists]] (e.g., [[tamsulosin]]) | |||
| risks = Use of [[alpha blockers]] | |||
| diagnosis = Clinical observation during surgery | |||
| differential = Other causes of [[miosis]] and [[iris prolapse]] | |||
| prevention = Preoperative assessment and surgical technique adjustments | |||
| treatment = Use of [[iris hooks]], [[viscoelastic devices]], or [[pupil expansion rings]] | |||
| frequency = Common in patients taking [[tamsulosin]] | |||
}} | |||
'''Intraoperative Floppy Iris Syndrome''' (IFIS) is a complication that can occur during cataract surgery. It is characterized by a flaccid iris that billows in response to intraoperative fluid currents, a propensity for the iris to prolapse towards the surgical incisions, and progressive intraoperative pupil constriction. IFIS was first described in 2005 by Chang and Campbell. | '''Intraoperative Floppy Iris Syndrome''' (IFIS) is a complication that can occur during cataract surgery. It is characterized by a flaccid iris that billows in response to intraoperative fluid currents, a propensity for the iris to prolapse towards the surgical incisions, and progressive intraoperative pupil constriction. IFIS was first described in 2005 by Chang and Campbell. | ||
==Causes== | ==Causes== | ||
IFIS is most commonly associated with the use of systemic [[alpha-1 adrenergic receptor antagonists]], particularly [[tamsulosin]], a medication used to treat [[benign prostatic hyperplasia]]. Other medications, such as [[antidepressants]], [[antipsychotics]], and [[benzodiazepines]], have also been associated with IFIS. | IFIS is most commonly associated with the use of systemic [[alpha-1 adrenergic receptor antagonists]], particularly [[tamsulosin]], a medication used to treat [[benign prostatic hyperplasia]]. Other medications, such as [[antidepressants]], [[antipsychotics]], and [[benzodiazepines]], have also been associated with IFIS. | ||
==Symptoms== | ==Symptoms== | ||
The primary symptoms of IFIS are a flaccid iris that billows in response to intraoperative fluid currents, a propensity for the iris to prolapse towards the surgical incisions, and progressive intraoperative pupil constriction. | The primary symptoms of IFIS are a flaccid iris that billows in response to intraoperative fluid currents, a propensity for the iris to prolapse towards the surgical incisions, and progressive intraoperative pupil constriction. | ||
==Diagnosis== | ==Diagnosis== | ||
IFIS is typically diagnosed during cataract surgery when the characteristic symptoms are observed. Preoperative recognition of risk factors, such as the use of certain medications, can help anticipate the occurrence of IFIS. | IFIS is typically diagnosed during cataract surgery when the characteristic symptoms are observed. Preoperative recognition of risk factors, such as the use of certain medications, can help anticipate the occurrence of IFIS. | ||
==Treatment== | ==Treatment== | ||
The management of IFIS involves the use of various surgical techniques and devices to prevent iris prolapse and maintain pupil dilation during cataract surgery. These may include the use of iris hooks or pupil expansion rings, and the modification of surgical techniques. | The management of IFIS involves the use of various surgical techniques and devices to prevent iris prolapse and maintain pupil dilation during cataract surgery. These may include the use of iris hooks or pupil expansion rings, and the modification of surgical techniques. | ||
==Prevention== | ==Prevention== | ||
Prevention strategies for IFIS include preoperative recognition of risk factors and appropriate surgical planning. Patients taking alpha-1 adrenergic receptor antagonists should be informed of the potential risk of IFIS and the possible need for additional surgical measures during cataract surgery. | Prevention strategies for IFIS include preoperative recognition of risk factors and appropriate surgical planning. Patients taking alpha-1 adrenergic receptor antagonists should be informed of the potential risk of IFIS and the possible need for additional surgical measures during cataract surgery. | ||
==See also== | ==See also== | ||
* [[Cataract surgery]] | * [[Cataract surgery]] | ||
* [[Benign prostatic hyperplasia]] | * [[Benign prostatic hyperplasia]] | ||
* [[Tamsulosin]] | * [[Tamsulosin]] | ||
==References== | ==References== | ||
<references /> | <references /> | ||
[[Category:Ophthalmology]] | [[Category:Ophthalmology]] | ||
[[Category:Surgical complications]] | [[Category:Surgical complications]] | ||
[[Category:Syndromes]] | [[Category:Syndromes]] | ||
{{stub}} | {{stub}} | ||
{{No image}} | {{No image}} | ||
Latest revision as of 00:00, 4 April 2025
| Intraoperative floppy iris syndrome | |
|---|---|
| Synonyms | IFIS |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Floppy iris, miosis, iris prolapse |
| Complications | Cataract surgery complications |
| Onset | During cataract surgery |
| Duration | Temporary, during surgery |
| Types | N/A |
| Causes | Alpha-1 adrenergic receptor antagonists (e.g., tamsulosin) |
| Risks | Use of alpha blockers |
| Diagnosis | Clinical observation during surgery |
| Differential diagnosis | Other causes of miosis and iris prolapse |
| Prevention | Preoperative assessment and surgical technique adjustments |
| Treatment | Use of iris hooks, viscoelastic devices, or pupil expansion rings |
| Medication | N/A |
| Prognosis | N/A |
| Frequency | Common in patients taking tamsulosin |
| Deaths | N/A |
Intraoperative Floppy Iris Syndrome (IFIS) is a complication that can occur during cataract surgery. It is characterized by a flaccid iris that billows in response to intraoperative fluid currents, a propensity for the iris to prolapse towards the surgical incisions, and progressive intraoperative pupil constriction. IFIS was first described in 2005 by Chang and Campbell.
Causes[edit]
IFIS is most commonly associated with the use of systemic alpha-1 adrenergic receptor antagonists, particularly tamsulosin, a medication used to treat benign prostatic hyperplasia. Other medications, such as antidepressants, antipsychotics, and benzodiazepines, have also been associated with IFIS.
Symptoms[edit]
The primary symptoms of IFIS are a flaccid iris that billows in response to intraoperative fluid currents, a propensity for the iris to prolapse towards the surgical incisions, and progressive intraoperative pupil constriction.
Diagnosis[edit]
IFIS is typically diagnosed during cataract surgery when the characteristic symptoms are observed. Preoperative recognition of risk factors, such as the use of certain medications, can help anticipate the occurrence of IFIS.
Treatment[edit]
The management of IFIS involves the use of various surgical techniques and devices to prevent iris prolapse and maintain pupil dilation during cataract surgery. These may include the use of iris hooks or pupil expansion rings, and the modification of surgical techniques.
Prevention[edit]
Prevention strategies for IFIS include preoperative recognition of risk factors and appropriate surgical planning. Patients taking alpha-1 adrenergic receptor antagonists should be informed of the potential risk of IFIS and the possible need for additional surgical measures during cataract surgery.
See also[edit]
References[edit]
<references />
