Journal of Cataract & Refractive Surgery
Volume 32, Issue 10 , Pages 1603-1605 , October 2006

Preoperative use of atropine to prevent intraoperative floppy-iris syndrome in patients taking tamsulosin

  • Rick E. Bendel, MD

      Affiliations

    • Corresponding Author InformationCorresponding author: Rick E. Bendel, MD, Mayo Clinic Jacksonville, 4500 San Pablo Road, Jacksonville, Florida 32224, USA.
  • ,
  • Michael B. Phillips, MD

,Accepted 14 April 2006.

References 

  1. Chang DF, Campbell JR. Intraoperative floppy iris syndrome associated with tamsulosin. J Cataract Refract Surg. 2005;31:664–673
  2. Hieble JP, Bylund DB, Clarke DE, et al. Recommendations for nomenclature of α1-adrenoceptors: consensus update. Pharmacol Rev. 1995;47:267–270
  3. Nakamura S, Taniguchi T, Suzuki F, et al. Evaluation of α1-adrenoceptors in the rabbit iris: pharmacological characterization and expression of mRNA. Br J Pharmacol. 1999;127:1367–1374
  4. Yu Y, Koss MC. Functional characterization of α-adrenoceptors mediating papillary dilation in rats. Eur J Pharmacol. 2003;471:135–140
  5. Yu Y, Koss MC. Studies of α-adrenoceptor antagonists on sympathetic mydriasis in rabbits. J Ocul Pharmacol. 2003;19:255–263
  6. Chapple C, Andersson K-E. Tamsulosin: an overview. World J Urol. 2002;19:397–404
  7. Lawrentschuk N, Bylsma GW. Intraoperative ‘floppy iris’ syndrome and its relationship to tamsulosin: a urologist's guide. [comments] BJU Int. 2006;97:2–5
  8. Gurbaxani A, Packard R. Intracameral phenylephrine to prevent floppy iris syndrome during cataract surgery in patients on tamsulosin. Eye advance online publication, November 11, 2005. Available at: http://www.nature.com/eye/journal/vaop/ncurrent/abs/6702172a.html. Accessed April 1, 2006
  9. Parikh CH, Edelhauser HF. Ocular surgical pharmacology: corneal endothelial safety and toxicity. Curr Opin Ophthalmol. 2003;14:178–185

 Neither author has a proprietary or financial interest in any product mentioned.

PII: S0886-3350(06)00893-5

doi: 10.1016/j.jcrs.2006.04.039

Journal of Cataract & Refractive Surgery
Volume 32, Issue 10 , Pages 1603-1605 , October 2006