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Finasteride-associated cataract and intraoperative floppy-iris syndrome
Albert Chak-Ming Wong1, Shiu Ting Mak
1Department of Ophthalmology, Union Hospital, Hong Kong, China. dralbertcmw@gmail.com
Journal of Cataract and Refractive Surgery
|May 11, 2011
Summary
Finasteride use may be linked to cataract formation and intraoperative floppy-iris syndrome (IFIS). Patients using finasteride should report vision changes to their doctor.
Area of Science:
- Ophthalmology
- Pharmacology
Background:
- A 47-year-old male patient used finasteride for male pattern alopecia for four years.
- No other long-term medications were reported.
Observation:
- Progressive bilateral blurring of vision was noted.
- Examination revealed bilateral anterior subcapsular cataracts.
- Intraoperative floppy-iris syndrome (IFIS) was observed during cataract surgery.
Findings:
- Finasteride use is potentially associated with cataract development.
- Finasteride use may contribute to intraoperative floppy-iris syndrome (IFIS).
Implications:
- Ophthalmologists should be aware of the potential link between finasteride and ocular complications.
- Physicians prescribing finasteride should counsel patients on possible visual side effects.
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