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- W2393615210 abstract "Objective To assess the influence of epinephrine on intraoperative floppy iris syndrome(IFIS) at cataract surgery.Methods A study was taken on 782 patients(782 eyes) underwent cataract ultrasound emulsification surgery.The use of alpha-1(α-1) antagonists and the numbers of IFIS were noted.The influence was also recorded for intraocular application of epinephrine on IFIS.Results For all 782 patients,35 patients(4.48%)had taken α-1 antagonists before surgery,and 18 patients(2.31%) showed IFIS during surgery.Fifteen of 18 IFIS patients were taking α-1 antagonists.The incidence rate of IFIS was 42.86% in patients receiving α-1 antagonists before surgery,and was 0.41% in patients without α-1 antagonists.There was statistical difference(P=0.000).The intraocular application of epinephrine managed successfully on 10 eyes(66.67%) receiving α-1 antagonists,while no significant influence was found on IFIS patients without taking α-1 antagonists and iris hooks was needed to implement surgery.Posterior capsular rupture and vitreous loss occurred in 4 cases of IFIS patients(22.22%),but only 2 cases of other patients(2/764,0.26%),and there was significant difference(P=0.000).Three cases were found with no improvement in 18 IFIS patients with intraocular application of epinephrine.Conclusion In cataract ultrasound emulsification surgery,patients receiving α-1 antagonists appear to be at a high risk of IFIS,which can be successfully treated with intraocular application of epinephrine.It may lead to a lower incidence of surgery complication if IFIS is diagnosed and treated in time." @default.
- W2393615210 created "2016-06-24" @default.
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- W2393615210 date "2008-01-01" @default.
- W2393615210 modified "2023-09-24" @default.
- W2393615210 title "Application of epinephrine on intraoperative floppy-iris syndrome at cataract surgery" @default.
- W2393615210 hasPublicationYear "2008" @default.
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