Management of lens-iris diaphragm retropulsion syndrome during phacoemulsification.
Lens-iris diaphragm retropulsion syndrome (LIDRS) occurs more often than recognized during small-incision phacoemulsification. This syndrome requires an infusion of fluid into the anterior chamber and is characterized by posterior displacement of the lens-iris diaphragm, marked deepening of the anterior chamber, posterior iris bowing, pupil dilation, and often significant patient discomfort. Using microendoscopy, we have observed that LIDRS is essentially a reverse pupillary block. We describe a surgical technique to mechanically break the iridocapsular block to restore normal chamber depth, relieve patient discomfort, and allow the surgeon to proceed safely with phacoemulsification.
Cionni
Robert J
RJ
Cincinnati Eye Institute, Ohio 45242, USA.
Barros
Marcílio G
MG
Osher
Robert H
RH
D000328:Adult; D000867:Anterior Chamber / Q000473:pathology; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D007499:Iris Diseases / Q000209:etiology / Q000601:surgery*; D007905:Lens Diseases / Q000209:etiology / Q000601:surgery*; D018918:Phacoemulsification / Q000009:adverse effects*; D011312:Pressure; D011680:Pupil / Q000502:physiology; D013577:Syndrome