Document Detail


Management of intraoperative floppy-iris syndrome-associated iris prolapse using a single iris retractor.
MedLine Citation:
PMID:  19878813     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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:
Naing L Tint; Aaron M Yeung; Philip Alexander
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cataract and refractive surgery     Volume:  35     ISSN:  1873-4502     ISO Abbreviation:  J Cataract Refract Surg     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-11-02     Completed Date:  2010-01-06     Revised Date:  2010-05-26    
Medline Journal Info:
Nlm Unique ID:  8604171     Medline TA:  J Cataract Refract Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1849-52     Citation Subset:  IM    
Affiliation:
Division of Ophthalmology and Visual Sciences, University of Nottingham, Nottingham, United Kingdom. n.tint@nottingham.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Adrenergic alpha-Antagonists / adverse effects*
Aged
Humans
Intraoperative Complications*
Iris Diseases / chemically induced,  surgery*
Male
Middle Aged
Ophthalmologic Surgical Procedures / instrumentation,  methods*
Phacoemulsification
Prolapse
Receptors, Adrenergic, alpha-1 / antagonists & inhibitors*
Sulfonamides / adverse effects
Syndrome
Visual Acuity
Chemical
Reg. No./Substance:
0/Adrenergic alpha-Antagonists; 0/Receptors, Adrenergic, alpha-1; 0/Sulfonamides; 106133-20-4/tamsulosin
Comments/Corrections
Comment In:
J Cataract Refract Surg. 2010 Jun;36(6):1064; author reply 1064-5   [PMID:  20494800 ]
J Cataract Refract Surg. 2010 Apr;36(4):700; author reply 700-1   [PMID:  20362878 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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