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Eye (Lond). 2007 Mar;21(3):331-2. Epub 2005 Nov 11.

Intracameral phenylephrine to prevent floppy iris syndrome during cataract surgery in patients on tamsulosin.

Author information

  • 1Department of Ophthalmology, King Edward VII Hospital, Windsor, Berkshire, UK. avigurbaxani@ yahoo.co.in

Abstract

PURPOSE:

To describe the use of intracameral phenylephrine to prevent the floppy iris syndrome seen in patients who are on the drug tamsulosin for benign prostatic hypertrophy, during cataract surgery.

SETTING:

Prince Charles Eye Unit, King Edward VII Hospital, Windsor, Berkshire, UK.

METHOD:

Seven patients who were on systemic tamsulosin for benign prostatic hypertrophy received intracameral phenylephrine before capsulorexhis during their cataract surgery.

RESULTS:

There was a significant reduction in the amount of mobility of the iris, reduction in the expected fluttering, and sustained papillary dilatation. ConclusionIntracameral phenylephrine is a simple and effective tool to prevent the effects of floppy iris syndrome in those patients undergoing cataract surgery who are on systemic tamsulosin.

PMID:
16284599
DOI:
10.1038/sj.eye.6702172
[PubMed - indexed for MEDLINE]
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