Awareness of intraoperative floppy-iris syndrome among primary care physicians.
نویسندگان
چکیده
Following the first report describing intraoperative floppy-iris syndrome (IFIS) in 2005, extensive efforts have been made to educate prescribing physicians about the association of IFIS with systemic a1-antagonists such as tamsulosin. In 2005, the U.S. Food and Drug Administration issued a new label warning about this association and Boehringer Ingelheim, manufacturer of Flomax (tamsulosin), issued a letter to all physicians highlighting the same association. The American Society of Cataract and Refractive Surgery (ASCRS) and the American Academy of Ophthalmology (AAO) jointly issued a public statement in 2006 advising patients to report any prior a1-antagonist medication history before having cataract surgery. Despite these efforts, 96.8% of primary care physicians surveyed in the United Kingdom in 2007 were unaware of IFIS and 91%ofASCRSmembers surveyed in 2008 thought there was inadequate prescriber awareness of IFIS. Therefore, ASCRS and AAO jointly issued a 2008 IFIS educational update statement asking prescribing physicians to consider involving the ophthalmologist prior to initially prescribing a1-antagonists in patients with known cataracts. Prescribing physicians were asked to encourage patients to report any history of a1-antagonist use to their ophthalmologist prior to having any eye surgery. These recommendations were disseminated by the American College of Physicians and the American
منابع مشابه
Surgical Strategies for the Intraoperative Floppy Iris Syndrome
John R. Campbell MD and I recently reported on two companion studies that we undertook to study the incidence, characteristics, surgical outcomes, and etiology of floppy irides during cataract surgery1. We named this condition the intraoperative floppy iris syndrome (IFIS). Based upon retrospective observations by Dr. Campbell regarding a possible association with tamsulosin (Flomax®, Boehringe...
متن کامل[Floppy-iris syndrome associated with tamsulosin. A prospective case-control study].
OBJECTIVE The main objectives of this study were: To assess the incidence of the intraoperative floppy-iris syndrome associated with tamsulosin and to analyse the incidence of intraoperative and postoperative complications as compared to a control group. Secondary objectives were: to describe the pupillary modifications associated with tamsulosin and to quantify the endothelial cell loss. MET...
متن کامل[Intraoperative floppy iris syndrome after treatment with duloxetine: coincidence, association, or causality?].
CASE REPORT The case is presented of a severe Intraoperative Floppy Iris Syndrome (IFIS) in a patient that had been treated with duloxetine. DISCUSSION Tamsulosin is the main etiological agent involved in IFIS. However several cases of IFIS, supposedly secondary to drugs of different groups have recently been reported in the literature. The authors use this case report as a means to discuss w...
متن کاملIntraoperative floppy-iris syndrome.
OBJECTIVE Intraoperative-floppy iris syndrome (IFIS) has been recently described. It has been demonstrated that this new syndrome complicates cataract surgery. In this paper we have reviewed the syndrome, and offer practical information specially related to the origin and management of this syndrome and we offer practical information. MATERIAL AND METHODS A review of the related medical liter...
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ورودعنوان ژورنال:
- Journal of cataract and refractive surgery
دوره 40 4 شماره
صفحات -
تاریخ انتشار 2014