title: Management of intraoperative floppy-iris syndrome-associated iris prolapse using a single iris retractor.
abstract: Tamsulosin is an alpha(1)-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.
authors.affiliation: Division of Ophthalmology and Visual Sciences, University of Nottingham, Nottingham, United Kingdom. n.tint@nottingham.ac.uk
authors.forename: Naing L
authors.initials: NL
authors.lastname: Tint
authors.forename: Aaron M
authors.initials: AM
authors.lastname: Yeung
authors.forename: Philip
authors.initials: P
authors.lastname: Alexander
mesh_terms: D058668:Adrenergic alpha-1 Receptor Antagonists; D000317:Adrenergic alpha-Antagonists / Q000009:adverse effects*; D000368:Aged; D006801:Humans; D007431:Intraoperative Complications; D007499:Iris Diseases / Q000139:chemically induced / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D018918:Phacoemulsification; D011391:Prolapse; D013449:Sulfonamides / Q000009:adverse effects; D013577:Syndrome; D000077409:Tamsulosin; D014792:Visual Acuity
chemical_list: D058668:Adrenergic alpha-1 Receptor Antagonists; D000317:Adrenergic alpha-Antagonists; D013449:Sulfonamides; D000077409:Tamsulosin