Urology

Answer 2 Cataract surgery. Intraoperative floppy iris syndrome (IFIS) has been associated with the use of α-adrenergic antagonists. Development of IFIS significantly increases the rate of complications during phacoemulsification cataract surgery and has been reported in patients who discontinued α-adrenergic antagonists several months before surgery. Although tamsulosin is often associated with development of IFIS, other α-adrenergic antagonists have been implicated.² This class of drugs should be avoided in patients who may undergo this procedure. REFERENCES 2. Takmaz T, Can I. Intraoperative floppy-iris syndrome: do we know everything about it? J Cataract Refract Surg 2007;33:1110–2. Click here to return to the questions

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