Clinical experience with intraoperative floppy-iris syndrome - Results of the 2008 ASCRS member survey

According to an online survey, most members of the American Society of Cataract and Refractive Surgery believe that tarnsulosin makes cataract surgery more difficult (95%) and increases the risks of surgery (77%). Commonly reported complications of intraoperative floppy-iris syndrome (IFIS) were significant iris trauma and posterior capsule rupture, with 52% and 23% of respondents, respectively, reporting these complications at a higher rate than in non-IFIS eyes. There was no single preferred surgical method for managing IFIS; 33% of respondents routinely used multiple strategies. Of respondents with sufficient experience, 90% believe that IFIS is more likely with tarnsulosin than with nonspecific alpha(1)-antagonists, Ninety-one percent believe that physicians prescribing alpha(1)-antagonists should become better educated about IFIS, and 59% would recommend a pretreatment ophthalmic evaluation for patients with cataracts or decreased vision. If they themselves had mildly symptomatic cataracts, 64% of respondents would avoid taking tarnsulosin or would have their cataract removed first.