Clinical experience with intraoperative floppy-iris syndrome. Results of the 2008 ASCRS member survey.

Abstract:

:According to an online survey, most members of the American Society of Cataract and Refractive Surgery believe that tamsulosin makes cataract surgery more difficult (95%) and increases the risks of surgery (77%). Commonly reported complications of intraoperative floppy-iris syndrome (IFIS) were significant iris trauma and posterior capsule rupture, with 52% and 23% of respondents, respectively, reporting these complications at a higher rate than in non-IFIS eyes. There was no single preferred surgical method for managing IFIS; 33% of respondents routinely used multiple strategies. Of respondents with sufficient experience, 90% believe that IFIS is more likely with tamsulosin than with nonspecific alpha1-antagonists. Ninety-one percent believe that physicians prescribing alpha1-antagonists should become better educated about IFIS, and 59% would recommend a pretreatment ophthalmic evaluation for patients with cataracts or decreased vision. If they themselves had mildly symptomatic cataracts, 64% of respondents would avoid taking tamsulosin or would have their cataract removed first.

authors

Chang DF,Braga-Mele R,Mamalis N,Masket S,Miller KM,Nichamin LD,Packard RB,Packer M,ASCRS Cataract Clinical Committee.

doi

10.1016/j.jcrs.2008.04.014

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

1201-9

issue

7

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(08)00426-4

journal_volume

34

pub_type

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