title: [Intraoperative floppy iris syndrome after treatment with duloxetine: coincidence, association, or causality?].
abstract: METHODS
  The case is presented of a severe Intraoperative Floppy Iris Syndrome (IFIS) in a patient that had been treated with duloxetine.
  
  
  CONCLUSIONS
  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 why most of these cases should be considered anecdotal evidence.
authors.affiliation: Departamento de Oftalmología, Hospital Universitario del Henares, Coslada, Madrid, España; Universidad Francisco de Vitoria, Pozuelo de Alarcón, Madrid, España. Electronic address: juliogmm@yahoo.es.
authors.forename: J
authors.initials: J
authors.lastname: González-Martín-Moro
authors.affiliation: Sección de Retina, Moorfields Eye Hospital, London, UK.
authors.forename: J J
authors.initials: JJ
authors.lastname: González-López
authors.affiliation: Departamento de Oftalmología, Hospital Universitario del Henares, Coslada, Madrid, España; Universidad Francisco de Vitoria, Pozuelo de Alarcón, Madrid, España.
authors.forename: J
authors.initials: J
authors.lastname: Zarallo-Gallardo
authors.affiliation: Departamento de Oftalmología, Hospital Universitario del Henares, Coslada, Madrid, España.
authors.forename: Y
authors.initials: Y
authors.lastname: Fernández-Miguel
mesh_terms: D000368:Aged; D000928:Antidepressive Agents / Q000009:adverse effects*; D000068736:Duloxetine Hydrochloride / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000139:chemically induced*; D007499:Iris Diseases / Q000139:chemically induced*; D013577:Syndrome
chemical_list: D000928:Antidepressive Agents; D000068736:Duloxetine Hydrochloride
keywords: Cataract; Catarata; Duloxetina; Duloxetine; IFIS; Intraoperative floppy iris syndrome; Síndrome del iris flácido intraoperatorio; Tamsulosin; Tamsulosina