Intraoperative Floppy Iris Syndrome: Updated Perspectives

Intraoperative floppy iris syndrome (IFIS) remained a significant challenge for cataract surgeons, particularly during phacoemulsification surgery. The condition was initially linked to tamsulosin intake but was later associated with various risk factors, including gender, age, hypertension, and the use of certain medications like a1-adrenergic receptor antagonists and finasteride. Proper assessment and stratification of preoperative risk were crucial for identifying patients at risk of developing IFIS. For these patients, preoperative prophylaxis and modifications in surgical techniques were essential. A multidisciplinary approach involving ophthalmologists, urologists, and other specialists was recommended to manage IFIS effectively. Awareness and documentation of risk factors were vital to prevent significant visual morbidity during surgery.