Abstract:
Purpose: To establish the tamsulosin effects during cataract surgery at patients with cataract.
Material and method: We studied a number of 25 eyes, with cataract, from 17 patients treated
with tamsulosin for prostate benign hypertrophia. The patients were operated for cataract by
facoemulsification technique with intraocular lens implantation.
Results: In 80 % of cases we had a preoperative pupilar diameter of 3 mm. In 50% of cases, during
the surgery we had a pupilar constriction in 10 to 15 minutes after the beginning of the surgery. In
85% of cases we had an iris flaccidity and in 15% of cases we had an iris prolapse at sideport
levels. In 13 % of cases it was necessary to introduce iris retractors.
Conclusions: Cronical use of tamsulosin induce intraoperative difficulties which can increase the
number of intraoperative complications.