Intraoperative floppy iris syndrome: facts for the urologist.
Intraoperative floppy iris syndrome (IFIS) consists of a triad of flaccid and billowing iris, iris prolapse through the surgical incisions, and progressive pupil constriction. IFIS increases the risk for complications during cataract surgery. It was first described in patients on tamsulosin treatment but can also be seen in patients on other non-subtype specific alpha(1)-adrenergic receptor (alpha(1)AR) antagonists. Urologists who are initiating treatment with alpha(1)AR antagonists should inform their patients that these drugs may increase the difficulty of cataract surgery, but once the ophthalmologists are forewarned, necessary safety measures can be taken to achieve good surgical results.
Yaycioglu
Ozgur
O
Department of Urology, Baskent University School of Medicine, Adana, Turkey. yaycioglu@yahoo.com
Altan-Yaycioglu
Rana
R
D058668:Adrenergic alpha-1 Receptor Antagonists; D002387:Cataract Extraction; D006801:Humans; D007431:Intraoperative Complications / Q000139:chemically induced* / Q000517:prevention & control*; D007499:Iris Diseases / Q000139:chemically induced* / Q000517:prevention & control*; D008297:Male; D011470:Prostatic Hyperplasia / Q000188:drug therapy; D013449:Sulfonamides / Q000009:adverse effects* / Q000627:therapeutic use; D013577:Syndrome; D000077409:Tamsulosin; D014572:Urology
D058668:Adrenergic alpha-1 Receptor Antagonists; D013449:Sulfonamides; D000077409:Tamsulosin