Surgical options with narrow pupil and floppy iris syndrome
B Malyugin · Klinische Monatsblätter für Augenheilkunde · 2010 · Heft 02
Bibliografische Angaben
Zusammenfassung
The main reasons for encountering small pupils during cataract surgery are well established. They include cases with pseudoexfoliation syndrome, uveitis, posterior synechiae. Campbell have described the intraoperative floppy-iris syndrome (IFIS) associated with systemic administration of the α-1A antagonist tamsulosin (Flomax). The intraoperative diagnostic triad of this symptom is fluttering and billowing of the iris stroma, a tendency to iris prolapse through the main and/or sideport incisions, and progressive constriction of the pupil during surgery. Unfortunately, current pharmacological approaches for manag…