Dr. Sucheta Parija

Dr.Genickson Jeyaraj

Abstract

Intraoperative Floppy Iris syndrome ( IFIS) is known to cause a poor pupillary dilation, iris prolapse leading to intraoperative complications during cataract surgery. Hence the surgeon must be prepared to deal with such cases by following these surgical pearls
1. Preoperative Clinical examination- Ask for history of Benign Prostatic Hyperplasia in males who are under prolonged medication with tamsulosin
2. Patient will need to be dilated with atropine eye drops
3. Incision for phaco must be long intra-corneal tunnel and sideports must be shorter in length
4. Use dispersive OVDs and be cautious not to overfill the chamber
5. Do minimal hydrodissection and minimal iris touch
6. Use phaco parameters -low pressure and low flow rate during surgery
7. Do not try to push the iris when it is repeatedly coming out from the incision site
8. Try to do anterior planar phacoemulsification if you are treading towards complications
This video demonstrates the management of two IFIS cases.