Preoperative use of atropine to prevent intraoperative floppy-iris syndrome in patients taking tamsulosin
| Autor: | Michael B. Phillips, Rick E. Bendel |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Atropine
Male Tamsulosin medicine.medical_specialty Mydriatics genetic structures medicine.medical_treatment Prostatic Hyperplasia Iris Intraoperative floppy iris syndrome Preoperative care Pupil Constriction Preoperative Care medicine Humans cardiovascular diseases Intraoperative Complications Adrenergic alpha-Antagonists Sulfonamides Phacoemulsification business.industry Syndrome Cataract surgery medicine.disease Sensory Systems Surgery Ophthalmology Iris Diseases Anesthesia Ophthalmic Solutions business medicine.drug |
| Zdroj: | Journal of cataract and refractive surgery. 32(10) |
| ISSN: | 0886-3350 |
| Popis: | Intraoperative floppy-iris syndrome (IFIS) is a recently identified condition associated with phacoemulsification in patients using the alpha1-antagonist tamsulosin (Flomax). Patients with IFIS manifest a triad of symptoms during cataract surgery: fluttering and billowing of iris stroma due to normal fluid movement, propensity of iris prolapse to phaco and side-port incisions, and progressive constriction of the pupil. Prevention of IFIS by withdrawing tamsulosin preoperatively has not shown consistent benefit. We describe the preoperative administration of atropine, which effectively prevented the occurrence of IFIS in patients receiving tamsulosin. |
| Databáze: | OpenAIRE |
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