Abstract | OBJECTIVE: Intracameral mydriatics using epinephrine associated with lidocaine have been reported as efficacious in reducing intraoperative floppy iris syndrome (IFIS) complications during cataract surgery. The aim of this study was to verify the efficacy of intracameral epinephrine without intracameral lidocaine as prophylaxis against IFIS in patients on tamsulosin. MATERIALS AND METHODS: RESULTS: Thirty-six eyes of 18 patients were included in the evaluation. The incidence of IFIS was significantly higher in the eyes where routine phacoemulsificaton had been performed (100%) with respect to eyes where phacoemulsification was carried out using intracameral epinephrine (33%) (Chi Square test =15.12, p<0.001). In routine phacoemulsification 16 eyes showed iris billowing, 14 eyes had some extent of miosis and 14 eyes had tendency to iris prolapse. In phacoemulsification with the use of intracameral epinephrine 5 eyes showed iris billowing, 4 eyes presented some extent of miosis and 2 eyes had tendency to iris prolapse. There were no serious intraoperative complications. CONCLUSIONS:
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Authors | V Fenicia, S Abdolrahimzadeh, G Scuderi, L Fabrizio, M Maurizi Enrici, F Cruciani, S M Recupero |
Journal | La Clinica terapeutica
(Clin Ter)
Vol. 166
Issue 4
Pg. 158-61
( 2015)
ISSN: 1972-6007 [Electronic] Italy |
PMID | 26378751
(Publication Type: Evaluation Study, Journal Article)
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Chemical References |
- Adrenergic alpha-1 Receptor Antagonists
- Mydriatics
- Sulfonamides
- Lidocaine
- Tamsulosin
- Epinephrine
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Topics |
- Adrenergic alpha-1 Receptor Antagonists
(adverse effects)
- Aged
- Epinephrine
(therapeutic use)
- Follow-Up Studies
- Humans
- Intraoperative Complications
(chemically induced, prevention & control)
- Iris Diseases
(chemically induced, prevention & control)
- Lidocaine
(therapeutic use)
- Male
- Mydriatics
(therapeutic use)
- Phacoemulsification
- Retrospective Studies
- Sulfonamides
(adverse effects)
- Syndrome
- Tamsulosin
- Treatment Outcome
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