Evidence map›Paper›PMID 42087929›Full record

ArticleAdvances in ophthalmology practice and research

Risk factors for intraoperative floppy iris syndrome in female cataract patients: The roles of ARB medication and diabetes mellitus.

Yiwei Wu, Lipu Cui, Yongyuan He, Peiyao Jin, Yuyu Miao, Yingyan Ma, Qian Sun, Bijun Zhu, Baojiang Li, Ying Zheng and 3 more

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Article in Advances in ophthalmology practice and research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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13 authors.

Yiwei WuDepartment of Ophthalmology, Shanghai General Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Lipu CuiDepartment of Ophthalmology, Shanghai General Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Yongyuan HeDepartment of Ophthalmology, Shanghai General Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Peiyao JinDepartment of Ophthalmology, Shanghai General Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Yuyu MiaoDepartment of Ophthalmology, Shanghai General Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Yingyan MaDepartment of Ophthalmology, Shanghai General Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Qian SunDepartment of Ophthalmology, Shanghai General Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Bijun ZhuDepartment of Ophthalmology, Shanghai General Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Baojiang LiDepartment of Ophthalmology, Shanghai General Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Ying ZhengDepartment of Ophthalmology, Shanghai General Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Qi YuDepartment of Ophthalmology, Shanghai General Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Huiyi JinDepartment of Ophthalmology, Shanghai General Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Haidong ZouDepartment of Ophthalmology, Shanghai General Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Intraoperative Floppy Iris Syndrome (IFIS) is an intraoperative event observed during cataract surgery, characterized by iris billowing, progressive miosis, and iris prolapse. While prior studies have focused on male patients and α-adrenergic antagonists, risk factors for IFIS in females remain unclear. This study aimed to identify independent risk factors for IFIS in female cataract patients. Methods: Female patients undergoing cataract surgery at Shanghai General Hospital from 2022 to 2024 were included. A total of 298 patients were enrolled in a cross-sectional study, and 416 in a cohort study. IFIS was assessed via surgical video, and logistic regression was used to identify risk factors, which were validated in the cohort. Results: In the cross-sectional analysis, diabetes mellitus (DM) (OR=14.471, 95% CI: 2.183-95.929, Conclusions: Diabetes and ARB medication are independent risk factors for IFIS in female cataract patients. Preoperative identification of these factors may help reduce intraoperative complications and improve surgical safety.

Indexed as

Angiotensin II receptor blockerCataract surgeryDiabetes mellitusIntraoperative floppy iris syndromeRisk factors

Identifiers

PMID42087929
PMCPMC13136699

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