MANAGING INTRAOPERATIVE FLOPPY IRIS SYNDROME WITH MALYUGIN PUPIL DILATOR

Abstract

Intraoperative floppy iris syndrome (IFIS) is a complication due to cataract surgery and has been linked to the use of systemic therapy with alpha-1 blocker drugs, especially tamsulosin. The appearance of its symptoms makes the cataract operation itself complicated in every step. The aim of this study was to demonstrate the efficacy of Malyugin pupillary dilator in dealing with IFIS symptoms. The study involved 40 untreated and 40 treated patients with Malyugin ring intraoperatively. In each patient the following parameters were evaluated: pre- and postoperative best corrected visual acuity (BCVA), intraoperative and postoperative pupillary diameter, as well as intraoperative and postoperative complications Intraoperative and postoperative complications were significantly more prevalent in the untreated than in the treated group. This study suggests that Malyugin ring is effective in dealing with IFIS symptoms in patients undergoing tamsulosin therapy.