Intraoperative Floppy Iris can lead to a poorly dilating pupil, Iris getting injured by being captured in phaco tip, recurrent iris prolapse through the side ports – all of these making the surgery difficult thereby causing increased incidence of posterior capsule rupture, Cystoid macular edema and poor visual recovery. The 3 point formula for managing this difficult intraoperative situation successfully is 1. using intracameral phenylepherine, 2. pupil support and dilation with a pupil dilater device & 3. Low parameters with slow phaco and minimum inflation of anterior chamber. This strategy leads to successful management of IFIS and results in quick visual recovery and excellent visual results.
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