Motley W Walker, Melson Andrew T
Abrahamson Pediatric Eye Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
J AAPOS. 2011 Apr;15(2):196-7. doi: 10.1016/j.jaapos.2010.12.009. Epub 2011 Apr 3.
Intraoperative floppy iris syndrome (IFIS) occurring during cataract surgery in adults has been widely reported in association with tamsulosin and other α-1(a) adrenergic antagonists; however, only one case of pediatric IFIS has been previously reported and was associated with congenital cataract. We report a case of a 1-month old girl with IFIS associated with bilateral persistent pupillary membranes without cataracts and the use of preoperative topical phenylephrine and pilocarpine for IFIS prophylaxis.
成人白内障手术期间发生的术中虹膜松弛综合征（IFIS）已被广泛报道与坦索罗辛和其他α-1（a）肾上腺素能拮抗剂有关；然而，此前仅报道过1例小儿IFIS病例，且与先天性白内障有关。我们报告1例1个月大的女童，其IFIS与双侧永存瞳孔膜相关，无白内障，并使用术前局部苯肾上腺素和毛果芸香碱预防IFIS。
