5 Key Takeaways

• 1

  Intraoperative floppy iris syndrome (IFIS) complicates cataract surgery, characterized by iris billowing, prolapse, and progressive miosis.

• 2

  IFIS risk factors include advanced age, male sex, small pupil size, hypertension, and certain medications, with increasing reports in females.

• 3

  A thorough preoperative history is essential for risk stratification and surgical planning to manage potential IFIS complications.

• 4

  Pharmacologic prophylaxis, such as atropine and topical NSAIDs, can stabilize the pupil and reduce intraoperative miosis severity.

• 5

  Intraoperative strategies for IFIS include elongated corneal incisions, low-flow phacoemulsification settings, and effective use of ophthalmic viscosurgical devices.