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1802: when floppy iris syndrome gets ugly

As surgeons we must remember (and teach our patients) that the results of surgery are a combination of our surgical technique and the patient’s anatomy and healing. Our guest surgeon is an expert who has done thousands of cataract surgeries and frequently deals with floppy iris syndrome (IFIS) from Flomax (tamsulosin) use. This case is stressful for any surgeon and watching the video reminds me of similarly tough surgeries that I have dealt with in the past. What would be your approach when the IFIS gets ugly?

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