Iris Prolapse Workup

  • Author: Guruswami Giri, MD, FRCS; Chief Editor: Hampton Roy Sr, MD   more...
 
Updated: Nov 16, 2011
 

Laboratory Studies

  • Iris prolapse is a clinical diagnosis.
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Imaging Studies

  • In long-standing iris prolapse, if cystoid macular edema is suspected, fluorescein angiography may be performed. Cystoid macula edema appears as a flower petal in the late stages of the angiogram.
  • CT scan of the orbits is indicated with traumatic iris prolapse to aid in diagnosing other ocular and orbital trauma. CT scan of the orbits may help in localizing intraocular foreign bodies and in assessing the status of the posterior segment of the eye.
  • In traumatic iris prolapse, ocular ultrasound may be gently performed by experienced personnel. This imaging modality may help to locate intraocular foreign bodies and to assess the status of the posterior segment of the eye. Care should be taken while performing the ocular ultrasound because undue pressure can cause prolapse of the intraocular contents.
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Contributor Information and Disclosures
Author

Guruswami Giri, MD, FRCS  Vitreo-Retinal Surgeon, Department of Ophthalmology, Permanente Medical Group of Sacramento, CA

Guruswami Giri, MD, FRCS is a member of the following medical societies: American Academy of Ophthalmology, Royal College of Ophthalmologists, and Royal College of Surgeons of Edinburgh

Disclosure: Nothing to disclose.

Specialty Editor Board

Richard W Allinson, MD  Associate Professor, Department of Ophthalmology, Texas A&M University Health Science Center; Senior Staff Ophthalmologist, Scott and White Clinic

Richard W Allinson, MD, is a member of the following medical societies: American Academy of Ophthalmology, American Medical Association, and Texas Medical Association

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

J James Rowsey, MD  Former Director of Corneal Services, St Luke's Cataract and Laser Institute

J James Rowsey, MD is a member of the following medical societies: American Academy of Ophthalmology, American Association for the Advancement of Science, American Medical Association, Association for Research in Vision and Ophthalmology, Florida Medical Association, Pan-American Association of Ophthalmology, Sigma Xi, and Southern Medical Association

Disclosure: Nothing to disclose.

Ralph Garzia, OD  Assistant Dean for Clinical and Academic Programs, Associate Professor, College of Optometry, University of Missouri at St Louis

Ralph Garzia, OD is a member of the following medical societies: American Academy of Optometry and American Optometric Association

Disclosure: Nothing to disclose.

Chief Editor

Hampton Roy Sr, MD  Associate Clinical Professor, Department of Ophthalmology, University of Arkansas for Medical Sciences

Hampton Roy Sr, MD is a member of the following medical societies: American Academy of Ophthalmology, American College of Surgeons, and Pan-American Association of Ophthalmology

Disclosure: Nothing to disclose.

References

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  2. Allan BD. Mechanism of iris prolapse: a qualitative analysis and implications for surgical technique. J Cataract Refract Surg. Mar 1995;21(2):182-6. [Medline].

  3. Albert DM. Ophthalmic Surgery: Principles and Techniques. Vol 1. Blackwell Science: 1999:137-138.

  4. Brinton GS, Topping TM, Hyndiuk RA, et al. Posttraumatic endophthalmitis. Arch Ophthalmol. Apr 1984;102(4):547-50. [Medline].

  5. Chang DF, Campbell JR. Intraoperative floppy iris syndrome associated with tamsulosin. J Cataract Refract Surg. Apr 2005;31(4):664-73. [Medline].

  6. Francis PJ, Morris RJ. Post-operative iris prolapse following phacoemulsification and extracapsular cataract surgery. Eye. 1997;11 (Pt 1):87-90. [Medline].

  7. McGwin G Jr, Hall TA, Xie A, et al. Trends in eye injury in the United States, 1992-2001. Invest Ophthalmol Vis Sci. Feb 2006;47(2):521-7. [Medline].

  8. McGwin G Jr, Xie A, Owsley C. Rate of eye injury in the United States. Arch Ophthalmol. Jul 2005;123(7):970-6. [Medline].

  9. Naylor G. Iris prolapse; who? When? Why?. Eye. 1993;7 (Pt 3):465-7. [Medline].

  10. Taguri AH, Sanders R. Iris prolapse in small incision cataract surgery. Ophthalmic Surg Lasers. Jan-Feb 2002;33(1):66-70. [Medline].

 
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