title: Modified SST-USST for tamsulosin-associated intraoperative [corrected] floppy-iris syndrome.
abstract: I describe a technique using ophthalmic viscosurgical devices to perform cataract surgery in patients taking tamsulosin (Flomax). The 6-step method uses a combination variant of the soft-shell and ultimate soft-shell techniques and involves adjustments to flow parameters. It achieves satisfactory iris stability and permits uneventful surgery.
authors.affiliation: York Finch Eye Associates, Humber River Regional Hospital, and The University of Toronto, Toronto, Ontario, Canada. saaeyes@idirect.com
authors.forename: Steve A
authors.initials: SA
authors.lastname: Arshinoff
mesh_terms: D000085:Acetates / Q000008:administration & dosage; D058668:Adrenergic alpha-1 Receptor Antagonists; D000317:Adrenergic alpha-Antagonists / Q000009:adverse effects*; D000867:Anterior Chamber / Q000187:drug effects; D002807:Chondroitin / Q000008:administration & dosage; D002809:Chondroitin Sulfates; D004338:Drug Combinations; D006801:Humans; D006820:Hyaluronic Acid / Q000008:administration & dosage; D007431:Intraoperative Complications / Q000517:prevention & control; D007499:Iris Diseases / Q000139:chemically induced*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D008903:Minerals / Q000008:administration & dosage; D018918:Phacoemulsification / Q000379:methods*; D011680:Pupil / Q000187:drug effects*; D012965:Sodium Chloride / Q000008:administration & dosage; D013449:Sulfonamides / Q000009:adverse effects*; D013577:Syndrome; D000077409:Tamsulosin
chemical_list: D000085:Acetates; D058668:Adrenergic alpha-1 Receptor Antagonists; D000317:Adrenergic alpha-Antagonists; C030660:BSS solution; D004338:Drug Combinations; D008903:Minerals; D013449:Sulfonamides; C501944:chondroitin sulfate, sodium hyaluronate drug combination; D012965:Sodium Chloride; D006820:Hyaluronic Acid; D002807:Chondroitin; D002809:Chondroitin Sulfates; D000077409:Tamsulosin