Intraoperative Floppy Iris Syndrome in patients on alpha 1 blocker tamsulosin: incidence and predictability

dc.contributor.authorSrivastava, Anil K.en_US
dc.contributor.authorGupta, Alkaen_US
dc.date.accessioned2020-11-18T10:01:38Z
dc.date.available2020-11-18T10:01:38Z
dc.date.issued2020-06
dc.description.abstractBackground: Intraoperative Floppy Iris Syndrome (IFIS) was first described by Chang and Campbell in year 2005 in male patients undergoing phacoemulsification surgery who were on Tamsulosin, an alpha 1 blocker drug for their urinary symptoms for enlarged prostate. This condition was characterized by excessive floppiness of iris, prolapse of iris tissue through phaco and sideport incisions and progressive intraoperative miosis, resulting in increased surgical time and various major surgical complications compromising visual outcome.Methods: This study of 78 patients was undertaken to know the incidence and severity of IFIS as well as to predict its occurrence by observing maximum pupil dilation achieved preoperatively.Results: It was observed that majority of patients on tamsulosin dilated poorly and severe IFIS occurred in those with pupil dilation of 5 mm or less after putting mydriatic eye drops preoperatively.Conclusions: It was concluded that if IFIS was predicted and necessary precautions taken, postoperative complications can be reduced significantly with improved visual outcome.en_US
dc.identifier.affiliationsDepartment of Ophthalmology, Hind Institute of Medical Sciences, Ataria, Sitapur, Uttar Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of Ophthalmology, Hind Institute of Medical Sciences, Safedabad, Barabanki, Uttar Pradesh, Indiaen_US
dc.identifier.citationSrivastava Anil K., Gupta Alka. Intraoperative Floppy Iris Syndrome in patients on alpha 1 blocker tamsulosin: incidence and predictability. International Journal of Research in Medical Sciences. 2020 May; 8(5): 2218-2221en_US
dc.identifier.issn2320-6071
dc.identifier.issn2320-6012
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/212265
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber5en_US
dc.relation.volume8en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-6012.ijrms20202270en_US
dc.subjectAlpha 1 blocker drugsen_US
dc.subjectIntraoperative Floppy Iris Syndromeen_US
dc.subjectMiosisen_US
dc.subjectPoor pupil dilationen_US
dc.subjectTamsulosinen_US
dc.titleIntraoperative Floppy Iris Syndrome in patients on alpha 1 blocker tamsulosin: incidence and predictabilityen_US
dc.typeJournal Articleen_US
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