DR. R. K. BANSAL

, Dr. NISHAT BANSAL

Abstract

Intraoperative floppy iris syndrome (IFIS) remains a challenge for cataract surgeons during phacoemulsification. It is induced by use of Tamsulosin and other non selective alfa adrenergic blockers used for the pharmacological treatment of benign prostrate hypertrophy. It has been reported even after use of antipsychotic, antihypertensive, antidepressant and other drugs. It can be mild, moderate or severe.

Video will demonstrate challenges faced during phacoemulsification and its management in 3 such cases operated during the last one year; in two males and one female patient.

Preoperative use of atropine, intraoperative use of high viscosity viscoelastic, intracameral use of epinephrine and phenlyephrine, pupil expanders/ iris hooks and low machine parameters are some of the steps recommended to safely perform phacoemulsification in cases at risk of IFIS.