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Intraoperative performance and outcomes after phacoemulsification in patients with intraoperative floppy iris syndrome: prospective case series

Poster Details

First Author: V.Vasavada INDIA

Co Author(s):    S. Raj   A. Vasavada   S. Raina   S. Srivastava   V. Vasavada  

Abstract Details



Purpose:

Intraoperative floppy iris syndrome (IFIS) caused by systemic alpha-blockers has been associated with an increased risk of cataract surgical complications. This study was undertaken to evaluate intraoperative performance and postoperative outcomes in patients on oral alpha blockers undergoing phacoemulsification

Setting:

Iladevi Cataract & IOL Research Centre, Raghudeep Eye Clinic, Gurukul Road, Memnagar, Ahmedabad

Methods:

Prospective, observational, interventional case series in 50 eyes of 50 males undergoing phacoemulsification and taking oral alpha blockers for prostate disease. Intraoperatively, surgical time,fluid used,CDE,and intraoperative complications were noted. Postoperatively,anterior chamber inflammation and complications(eg.CME,synechiae) were recorded on postoperative day1, 4 weeks,and 3 months

Results:

Mean age was 52.2+2.2 years.Intraoperative miosis was seen in 40% eyes,billowing in 42.2% eyes,and iris prolapse in12.5%. Additional intracameral phenylephrine was required in 19.35% eyes.Mean surgical time was 6.43 minutes, fluid used was 103.72cc, and CDE was 23.77. No other intraoperative complications reported. Mean preoperative pupillary diameter was 6.51+1.14mm,which was 6.04+1.42mm at end of surgery. On POD 1,14.75% patients had >grade 2 flare,43.5% had >grade 2 cells. Only 1 eye had bothersome pain.At 1 month, however, only 2% eyes had > grade 2 flare and cells. At 1 and 3 months,there was no incidence of CME, synechiae or persistent inflammation

Conclusions:

Although 40% eyes taking oral alpha-blockers showed signs of IFIS, when the surgeon is anticipating IFIS and with appropriate use of low fluidic parameters and surgical techniques the rate of intraoperative and postoperative complications could be minimized

Financial Disclosure:

NONE

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