title: Management of intraoperative iris prolapse: stepwise practical approach.
abstract: Iris prolapse is not an uncommon occurrence during cataract surgery. It usually occurs through the main incision during hydrodissection and is commonly associated with floppy-iris syndrome; however, it can manifest in cases with no known predisposition and can occur at any stage during surgery. The mechanism is explained by the Bernoulli principle and its effect on iris position during the movement of fluid within the eye. Predisposing factors are iris configuration, anterior chamber depth, and position and architecture of the corneal tunnel. Strategies for prevention and management include the use of pharmacological agents, ophthalmic viscosurgical devices, and iris retractors. These strategies can be augmented by alteration and adaptation of the surgeon's technique.
authors.affiliation: Cornea and External Eye Diseases, Moorfields Eye Hospital, London, United Kingdom. ntint@talk21.com
authors.forename: Naing L
authors.initials: NL
authors.lastname: Tint
authors.forename: Amritpaul S
authors.initials: AS
authors.lastname: Dhillon
authors.forename: Philip
authors.initials: P
authors.lastname: Alexander
mesh_terms: D019923:Capsulorhexis; D003315:Cornea / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D007431:Intraoperative Complications; D007499:Iris Diseases / Q000209:etiology / Q000517:prevention & control / Q000601:surgery*; D018918:Phacoemulsification; D011391:Prolapse; D012307:Risk Factors; D055675:Viscosupplements
chemical_list: D055675:Viscosupplements