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Case Reports in Ophthalmological Medicine
Volume 2016, Article ID 1289834, 4 pages
Case Report

Modified Surgical Techniques for Managing Intraoperative Floppy Iris Syndrome

1Department of Ophthalmology, Ramathibodi Hospital, Faculty of Medicine, Mahidol University, Bangkok, Thailand
2Department of Ophthalmology, Mettapracharak (Wat Rai Khing) Hospital, Nakhon Pathom, Thailand

Received 4 July 2016; Revised 29 September 2016; Accepted 7 November 2016

Academic Editor: Vishal Jhanji

Copyright © 2016 Pornchai Simaroj et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. To report a modified surgical strategy in the management of intraoperative floppy iris syndrome-associated iris prolapse. Methods. Prolapsed iris is left as is and a new corneal incision near the original wound but at a different site is created. Depending on the location of the original incision and the surgeon’s preference, this additional incision can be used as a new port for phacoemulsification tip or can be the new site for the iris to securely prolapse, allowing for the surgery to proceed safely. Results. We present 2 cases of iris prolapse and inadequate pupil dilation in patients with IFIS. Along with our modified technique, additional iris retractors were placed to increase the workspace for the phacoemulsification tip. The cataract surgery was performed successfully without further complications in both cases. Conclusion. This surgical technique could be an adjunct to allow the surgeons to expand the armamentarium for the management of IFIS-associated iris prolapse.