DOI: 10.36347/sjmcr.2017.v05i02.018

Pages: 127-128

We present an intraoperative floppy iris syndrome (IFIS) in a patient taking antipsychotics for the treatment of schizophrenia. At presentation, his visual acuity was hand motion in both eyes. Slit-lamp examination revealed marked opacity and phacodonesis in both lenses. Moreover, the pupil dilated to only 4.0 mm under mydriatic eye drops. During the operation, to avoid severe IFIS, multiple pupillary sphinctectomy was initiated. Lens extraction was performed carefully by lens loop. Then, intraocular lens was successfully implanted into the capsular bag. Although flaccid and billowing iris was developed, iris prolapse through the surgical incisions and progressive intraoperative pupil constriction did not occurred. Surgeons should keep in mind the possibility of IFIS in patients using antipsychotics.