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Preoperative ocular characteristics predicting the development of intraoperative floppy iris syndrome regardless of alpha-antagonist exposure status

Graefe's Archive for Clinical and Experimental Ophthalmology Jan 14, 2021

Safir M, Hecht I, Hartstein ME, et al. - Researchers conducted this retrospective study to evaluate structural risk factors for intraoperative floppy iris syndrome (IFIS) available on preoperative examination before cataract surgery. Between July and September 2019, medical records of patients who underwent cataract surgery in Shamir Medical Center were reviewed. Patients younger than 50 years, with preexisting ocular conditions affecting the pupillary size or anterior chamber depth (ACD), and combined procedures have been removed. Participants in the study were 394 patients (394 eyes), mean age 72.48 ± 8.63 years, and 58.4% were female. Irrespective of alpha-antagonist treatment status, increased LT and decreased mydriatic pupil diameter were correlated with increased IFIS risk.

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