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Floppy Iris Syndrome

Dónal Kevin Gordon, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Intraoperative floppy iris syndrome (IFIS), a potential complication of cataract removal surgery, was first reported in 2005 and is thought to be mediated by atrophy of the iris dila...

DIAGNOSIS

HISTORY

  • Inquire about use of tamsulosin, other α-blockers, especially in male patients with known BPH.

  • Review patient use of other medications linked to IFIS.

  • Attention should be paid to signif...

TREATMENT

GENERAL MEASURES

  • Management begins with prevention (1)[B].

  • Prior to cataract surgery, men and women should be screened for any current or prior use of medications associated with IFIS (4).

MEDICATION

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Recommendations for follow-up based on operative outcome and postoperative complications 
  • In general, 3 months postoperative observation is recommended.

PATIENT EDUCATION

REFERENCES

1
González Martín-Moro J, Muñoz Negrete F, Lozano Escobar I, et al. Intraoperative floppy-iris syndrome. Arch Soc Esp Oftalmol.  2013;88(2):64–76. {L-End} [View Abstract on OvidMedline...

CODES

ICD10

H21.81 Floppy iris syndrome 

ICD9

364.81 Floppy iris syndrome 

SNOMED

  • 418801006 intraoperative floppy iris syndrome (disorder)

  • 420545001 Tamsulosin-associated floppy iris syndrome

CLINICAL PEARLS

  • IFIS is a potential complication of cataract removal surgery and is distinguished by the intraoperative triad of a flaccid iris seen to billow during surgery, hence the floppy iris, wh...

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