ABO Ophthalmology Practice Questions - American Board Of Ophthalmology Written Qualifying Examination (WQE) Exam

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A 62-year-old man on tamsulosin for BPH is undergoing cataract surgery. Intraoperatively the iris becomes floppy, billowing with fluid currents, with progressive intraoperative miosis and iris prolapse to the wound. Which strategy is most appropriate to complete the case safely?

Stop all irrigation and convert to extracapsular cataract extraction immediately Use intracameral phenylephrine/epinephrine plus iris hooks or a Malyugin ring and lower the infusion bottle Dilate the pupil with topical atropine intraoperatively Perform vitrectomy before completing nucleus removal

Correct Answer:

Use intracameral phenylephrine/epinephrine plus iris hooks or a Malyugin ring and lower the infusion bottle

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