Handzel D M, Rausch S, Kälble T, Briesen S
Augenzentrum Osthessen, Überörtliche Berufsausübungsgemeinschaft, Marktstr. 8, 36037 Fulda.
Ophthalmologe. 2013 Apr;110(4):365-9. doi: 10.1007/s00347-012-2738-1.
The intraoperative floppy iris syndrome (IFIS) describes an ophthalmologically relevant phenomenon which is observed after systemic intake of alpha blockers for treatment of benign prostate hyperplasia. This leads to an increase in intraoperative complications in cataract surgery characterized by a flaccid iris which billows in response to currents with a tendency to prolapse towards the area of surgery. This results in damage to the iris by the instruments used or posterior capsule rupture with loss of lens material. We describe the preoperative and intraoperative measures and techniques to deal with this challenging situation in order to minimize development of IFIS and reduce the complication rate.
术中松弛性虹膜综合征（IFIS）描述了一种与眼科相关的现象，该现象在全身摄入α受体阻滞剂以治疗良性前列腺增生后被观察到。这导致白内障手术中术中并发症增加，其特征为虹膜松弛，对水流产生波动并倾向于向手术区域脱垂。这会导致所用器械对虹膜造成损伤或后囊破裂并伴有晶状体物质丢失。我们描述了术前和术中应对这种具有挑战性情况的措施和技术，以尽量减少IFIS的发生并降低并发症发生率。
