Intraoperative Floppy Iris Syndrome versus Lens-Iris Diaphragm Retropulsion Syndrome
Authors:
Z. Mazal
Authors place of work:
Oční oddělení, Oblastní nemocnice Mladá Boleslav, a. s., primář MUDr. Zdeněk Mazal
Published in the journal:
Čes. a slov. Oftal., 64, 2008, No. 6, p. 231-233
Summary
Intraoperative floppy iris syndrome (IFIS) as well as lens-iris diaphragm retropulsion syndrome (LIDRS) may negatively influence the course of the modern cataract procedure. In case of simultaneous presence of both syndromes, the LIDRS may paradoxically ease the surgery by means of partial or transient elimination of the IFIS. It causes the dilatation of the pupil, pushes the iris back, and deepens the anterior chamber and this way reduces the fluttering of the iris and makes possible to perform important phases of the surgery, during that we are working in the proximity of the pupil. In case of coincidence with the IFIS, after the spontaneous interruption of the LIDRS, we can repeatedly induce it by means of switching the irrigation off and after shallowing of the anterior chamber by turning the irrigation on again.
Key words:
IFIS, LIDRS
Zdroje
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4. Chee, S P, Bacal, K.: Management of lens-iris diaphragm retropulsion syndrome (letter). J. Cataract. Refract. Surg., 31, 2005, 1272–1273.
5. Mazal, Z.: IFIS-syndrom „vlající“ duhovky. Čes. a slov. Oftal., 63, 2007: 91–94.
6. Mendicute, J., Bidaguren, A.: Lens-iris diaphragm retropulsion syndrome and iridotomies (letter). J. Cataract. Refract. Surg., 33, 2007, 2: 177.
7. Vishwanath, M R: Lens - iris diaphragm retropulsion syndrome and iris hooks (letter). J. Cataract. Refract. Surg., 32, 2006: 708.
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Štítky
OphthalmologyČlánok vyšiel v časopise
Czech and Slovak Ophthalmology
2008 Číslo 6
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