title: Pediatric intraoperative floppy iris syndrome associated with persistent pupillary membrane.
abstract: Intraoperative floppy iris syndrome (IFIS) occurring during cataract surgery in adults has been widely reported in association with tamsulosin and other α-1(a) adrenergic antagonists; however, only one case of pediatric IFIS has been previously reported and was associated with congenital cataract. We report a case of a 1-month old girl with IFIS associated with bilateral persistent pupillary membranes without cataracts and the use of preoperative topical phenylephrine and pilocarpine for IFIS prophylaxis.
authors.affiliation: Abrahamson Pediatric Eye Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA. william.motley@cchmc.org
authors.forename: W Walker
authors.initials: WW
authors.lastname: Motley
authors.forename: Andrew T
authors.initials: AT
authors.lastname: Melson
mesh_terms: D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007431:Intraoperative Complications; D007499:Iris Diseases / Q000209:etiology* / Q000517:prevention & control; D008566:Membranes / Q000473:pathology* / Q000601:surgery; D008916:Miotics / Q000008:administration & dosage; D009184:Mydriatics / Q000008:administration & dosage; D010656:Phenylephrine / Q000008:administration & dosage; D010862:Pilocarpine / Q000008:administration & dosage; D011681:Pupil Disorders / Q000150:complications* / Q000601:surgery; D013577:Syndrome
chemical_list: D008916:Miotics; D009184:Mydriatics; D010862:Pilocarpine; D010656:Phenylephrine