Cataract Surgery & Prostate Medication Tamsulosin

Question: I am about to have cataract surgery and concerned about complications with Tamsulosin. I lost the sight in my left eye years ago and now have a cataract on my right eye. I have a slight astigmatism and take .4mg Tamsulosin daily. What should I be aware of to discuss with my cataract surgeon prior to surgery?


Answer: The use of Tamsulosin-a selective alpha antagonist or blocker-to treat prostate enlargement or benign prostate hyperplasia (BPH) and urinary symptoms has been closely linked to complications during Cataract Surgery. Patients taking tamsulosin are prone to a complication known as Intraoperative Floppy Iris Syndrome (IFIS) during Cataract Surgery. Adverse outcomes of the Cataract operation are greatly reduced by your Cataract Surgeon’s prior knowledge that you take this drug and thus having the option of alternative techniques. With alternative procedures and techniques, the complications can be managed and greatly reduces. PLEASE ADVISE YOUR CATARACT SURGEON THAT YOU ARE TAKING TAMSULOSIN ASAP.

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