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Intracameral phenylephrine to prevent floppy iris syndrome during cataract surgery in patients on tamsulosin
1Department of Ophthalmology, King Edward VII Hospital, Windsor, Berkshire, UK. avigurbaxani@ yahoo.co.in
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.
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