Turp

Men's health
1

Some on here may remember me, I had a Turp last November (2014 )

anyway last week I had visual problems in my left eye. I was refered to an Ophthalmologist who found I had a cataract, he also found That I suffered from IFIS caused by the use of tamsulosin for my Prostitis prior to the Turp. this makes cataract surgery difficult and the recovery outcome not so good, I was not told that tamsulosin would effect the Iris of the eye and that it stays in the body for life , so please be aware of the risks before taking 

tamsulosin /flomax.

I have gone private and have Cataract removal surgery on the 13th june ( Saturday next )

kind regards 

Howard

2

Hi, can i ask how long you were on Tamsulosin before turp? regards Syd

3

Only 10 days, but it was enough to effect the Iris. I thought all meds work out of the body after time, I was wrong Tamsulosin stays for life.

QUOTE: IFIS has been associated with Flomax (tamsulosin), a medication widely prescribed for urinary symptoms associated with benign prostatic hyperplasia. Tamsulosin is a selective alpha blockerthat works by relaxing the bladder and prostatic smooth muscle. As such, it also relaxes the iris dilator muscle by binding to its postsynaptic nerve endings. Even if a patient has only taken tamsulosin once in their life, that dose is enough to cause IFIS during cataract extraction indefinitely.[2][3]

4

Hi Howard. I've just been told by my Opthalmologist I have glaucoma starting. Am going for laser surgery 'SLT'next month. He says the worst thing can go wrong is that it doesn't work and need to do it again. And the cataracts aren't serious enough for surgery as long as I can still drive ok. Keeping my fingers crossed and hoping he is right. He also says the eye drops cause more problems than laser.

Good luck to you

Roland

 

5

howard

Thanks for the information on Tamsulosin i just filled my prescription today.

I will wait to take it untill i research other Alpha blockers !

                                                                                             Griff

6

Good luck Howard.  Ken

7

ALFUZOSIN  does not have that effect.

I took Tamsulosin for nine or ten months . I was taking Amiodarone at the same time and each had an effect on my eyes. I had been told that I would need cataract surgery in the future but the amiodarone hastened it. I was concerned about 'Floppy eye syndrome' from the tamsulosin but prior to cataract surgery they said that it had not affected me. Though the surgeon doing my second eye commented 'Why do they give me all the difficult cases'

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Who said life was easy.....LOL

9

Thank you.

10

Thank you.

11

Hi Howard. I took Rapaflo for 6 days. Do you know if it has this or any other permanent effects?

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Hi Howard. What is IFIS and what are the symtoms. I took Tamsulosin for 18 months prior to my TURP operation the only issue I have with my eyes is minute red dot floaters. I went for my eye check up and was told nothing to worrry about just check it doesn't get worse. Regards Peter

13

Unless you are having eye surgery you should be ok.

Intraoperative floppy iris syndrome (IFIS) is a complication observed during cataract surgery that was first described in 2005 in association with the α1-adrenergic antagonist tamsulosin.1 α1-adrenergic receptors are present in the iris dilator muscle of the eye, where inhibition of the receptors relaxes this muscle causing a floppy iris and miosis.

IFIS is characterised by a triad of intraoperative signs that may present with varying degrees of severity:

billowing of a flaccid iris stroma

progressive intraoperative pupil constriction

propensity for iris prolapse towards the phaco and side port incisions

Complications of IFIS during cataract surgery include: iris trauma; posterior capsule rupture; and vitreous loss. Postoperative complications include increased intraocular pressure and cystoid macular oedema.

kind regards

Howard

14

Hi Howard , cheers for info...good luck and speedy recovery on 13th. Syd

15

It belongs to the same family and an Alpha -1 blocker, ( dug this up for you )

Patients planning cataract surgery must notify their ophthalmologist that they are taking Rapaflo because of the possibility of a condition called Intraoperative Floppy Iris Syndrome (IFIS), a complication associated with cataract surgery in patients on alpha-1 adrenoreceptor blocker medications. In IFIS the iris of the eye becomes limp and moves in waves as a result of increases in fluid levels within the eye. This can result in a painful and extended recovery period in those who have undergone cataract surgery and a reduction in visual acuity (sharpness). Patients on alpha-blockers or those who have severe kidney or liver impairment should not use Rapaflo.

16

Thank you for your best wishes,

17

I only took Rapaflo for 6 days, and wanted to know, if IFIS can occur no matter how long ago or for how long you took Rapaflo, as you stated for Tamsulosin. I did call Rapaflo, they had no info on this in their database, I insisted they check with a source they would have who might know. 

This may be because Rapaflo has been on the market less than 5 yrs, so they don't have this adverse effect reported by any doctors, even though it should be reported. I also asked how long it's effects can be seen in a patient, even if just detected in a person's blood or in some other way. Does anyone here know these answers or could point me in that direction?

Thank you!

18

I really doubt if one dose of Tamsulosin is there forever.

19

Hi all, just to let you know all went well and I'm due to have my other eye done on the 26th of September, they had to use more powerful drops to dilate the eye prior to surgery ( I looked like a lopsided owl for 7 days as that's how long before the iris went back to normal, it normaly takes 4 hours ) although my right eye is not giving me trouble they suggested doing it to balance the eyes,

and yes  tamsulosin had effected both eyes.

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Take care and I hope all goes well...Ken