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Comparison of efficacy in two different viscoelastics during phaco in patients taking tamsulosin for the prevention of intraoperative floppy iris syndrome (IFIS)

Poster Details

First Author: S.Demircan TURKEY

Co Author(s):    M. Atas   E. Pangal   A. Goktas        

Abstract Details


We compared the efficacy of two different ocular viscoelastic devices ( Healon 5 vs Viscoat) during phaco in patients taking tamsulosin for the preventing of intraoperative floppy iris syndrome (IFIS)


Kayseri Training and Research Hospital Kayseri-Turkey


We compared prospectively the presence and severity of the appearance of IFIS in 32 patients scheduled to phacoemulsification with IOL implantation. Both groups comprises 16 patients taking tamsulosin at least 1 year. We used two different viscoelastic agents (Healon 5 vs Viscoat) in groups. According to classical triad We scored between mild/moderate and severe IFIS findings. All surgerries were performed same surgeon and same torsional setting with ?nfiniti. Cataract opealesence is similar to LOCS III in both groups.


: In healon 5 group 10 patients showed no evidence of IFIS, 4 exhibited mild symptoms, 2 patients exhibited moderate symptoms of IFIS. In Viscoat group 4 patients showed no finding of IFIS, 10 patients exhibited mild symptoms. 4 patients showed moderate symptoms.Statistical analysis showed a significant difference between both groups (p<0.05).


We concluded that Healon 5 is more reliable to prevent IFIS in patients taking tamsulosin during phacoemulsification than Viscoat.

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