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Intraoperatives Floppy-Iris-Syndrom: ein aktueller Überblick

Intraoperative floppy iris syndrome: an updated overview

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Zusammenfassung

Hintergrund

Das intraoperative Floppy-Iris-Syndrom (IFIS) ist eine häufige Komplikation während einer Kataraktoperation, die oft ein aufwendiges Komplikationsmanagement durch die OperateurIn erfordert und mit schwerwiegenden Folgen für die PatientInnen enden kann. Eine Vielzahl von Medikamenten wurde in den letzten Jahren mit dieser Komplikation in Verbindung gebracht. Ziel dieser Arbeit war es, einen Überblick über diese Komplikation und eine Übersicht über jene Medikamente zu geben, die in der Literatur mit einem IFIS in Verbindung gebracht werden.

Methoden

Es erfolgte eine systematische Literatursuche über das IFIS und Medikamente, die mit diesem in Verbindung gebracht werden. Anschließend wird das Ergebnis mit Erfahrungswerten an unserer Abteilung diskutiert.

Schlussfolgerungen

Mit dem Auftreten eines IFIS muss bei einer Vielzahl von laufenden Medikationen gerechnet werden. Die Anzahl an IFIS Fällen und der Anteil an betroffenen Frauen ist gestiegen. Gründe hierfür dürften eine höhere Sensibilität für diese Komplikation unter den OperateurInnen und eine steigende Verschreibung von Medikamenten mit einem erhöhten Risiko für ein IFIS darstellen.

Summary

Background

The intraoperative floppy iris syndrome (IFIS) is a frequent complication during cataract surgery. An IFIS often requires an extensive management of complications and can end in poor surgery outcome. Multiple drugs have been found to be associated with this complication over the past years. The aim of this paper is to give an overview on the complication and to summarize medications that are known to be associated with an IFIS.

Methods

We performed a systematic review on IFIS and on drugs, which are associated with it. The collected results then were compared to operating experience at our department.

Conclusions

The occurrence of IFIS has to be expected with a variety of concurrent medications. The number of IFIS cases and the percentage of affected females have increased. The observations might be due to a rising awareness of surgeons or to an increasing number of causative medications on the market.

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Authors and Affiliations

  1. Augenabteilung, Krankenhaus Hietzing mit Neurologischem Zentrum Rosenhügel, Wolkersbergenstraße 1, 1130, Wien, Österreich

    Michael Wahl &  Pia V. Vecsei-Marlovits MSC MBA

  2. Karl Landsteiner Institut für Prozessoptimierung und Qualitätsmanagement in der Katarakt-Chirurgie, Krankenhaus Hietzing mit Neurologischem Zentrum Rosenhügel, Wolkersbergenstrasse 1, 1130, Wien, Österreich

    Michael Wahl &  Pia V. Vecsei-Marlovits MSC MBA

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  1. Michael Wahl
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Correspondence to Pia V. Vecsei-Marlovits MSC MBA.

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M. Wahl und P.V. Vecsei-Marlovits geben an, dass kein Interessenkonflikt besteht.

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Wahl, M., Vecsei-Marlovits, P.V. Intraoperatives Floppy-Iris-Syndrom: ein aktueller Überblick. Spektrum Augenheilkd. 30, 227–231 (2016). https://doi.org/10.1007/s00717-016-0307-8

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  • DOI: https://doi.org/10.1007/s00717-016-0307-8

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