DR. ADITYA SHARMA

Dr.JAISHREE DWIVEDI, Dr. LOKESH KUMAR SINGH

Abstract

Intraoperative floppy iris syndrome (IFIS) is associated with an increased risk of surgical complications (such as iris trauma, posterior capsule rupture, and vitreous loss) during cataract surgery. The purpose of this study was to evaluate the incidence of IFIS in Western UP, risk factors, and management of Intraoperative Floppy Iris Syndrome (IFIS) during cataract surgery. Consecutive cataract surgeries from September 2019 to March 2020 (912 eyes, 846 patients; 440 males, 406 females) were analyzed prospectively. On analysis, hypertension and use of Tamsulosin/Alfuzosin were the factors associated with IFIS. With IFIS the surgeon observed increased difficulty and additional measures were required. Mean operative time was increased in IFIS eyes.

Conclusion: IFIS makes the surgery more difficult, significantly increases the operative time, and predisposes for other intraoperative complications. However, with appropriate management, final operative outcome is not affected.