
Implement a New Flomax Prefered Practice Pattern
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The use of alpha blockers causes an increased incidence of IFIS and, with it, an increased morbidity during routine cataract surgery. We are urging a new PPP for these patients: If a urologist is considering starting a patient on an alpha blocker to treat urinary symptoms, a baseline exam from the ophthalmologist should be obtained prior to the start of treatment. If a cataract is detected, it should be removed prior to the initiation of alpha antagonist therapy. This would go a long way toward minimizing the morbidity in these patients.
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Cataract surgeons concerned with the intraoperative complications associated with Flomax.
Links
http://www.aao.org/aao/publications/eyenet/200905/letters.cfm#one
http://jama.ama-assn.org/cgi/content/full/301/19/1991
http://www.nytimes.com/2009/05/20/health/research/20drug.html
http://health.usnews.com/articles/health/2009/05/20/health-buzz-men-on-flomax-face-eye-risks-and-other-health-news.html
http://lasikblog.typepad.com/the_lasik_blog/2009/05/the-flomax-cataract-controversary-continued.html
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