Management
Ocular Comorbidities
Î Many comorbid conditions are associated with the potential for
reduced improvement in visual function or best corrected visual acuity
(BCVA), and the patient should be informed and counseled prior to
surgery. (III, G, S)
Î Topical and/or periocular, intraocular, and systemic anti-inflammatory
medications should be started prior to surgery. (III, G, S)
Î As with ocular comorbidities, patients with high-risk characteristics
should be informed about the specific impact of their condition on the
expected course and outcome of surgery, along with options that may
be considered in the event that complications occur. (III, G, S)
Intraoperative Floppy Iris Syndrome
Î Pupil stretching and sphincterotomies are ineffective in these eyes,
and pharmacologic approaches, viscomydriasis, and pupil expansion
devices, either alone or in combination, should be used to manage
IFIS. (II-, M, S)
10
