Further update on cataract surgery and Floppy Iris

[Finvola]

Some months back I said I would ask my cardiologist about my opthalmic surgeon's comments regarding my Floppy Irises and the link to Flecainide. Discussed on this thread:

healthunlocked.com/afassoci...

Yesterday I asked my cardiologist about it and he had never heard of any link and seemed to dismiss the idea. So, we have two experts in different medical disciplines with differing ideas on the same subject. (I cannot help but remember my EP's advice 'never blame your drugs - always look for the cause'. This situation must happen often as few consultants are able to cross disciplines to be an expert on both. I still have floppy irises but the cause is, as yet, unknown.

Having said all that, my cataract surgery was an unqualified success in spite of the floppy bits!

[Desanthony]

Glad to hear your cataract surgery was such a success.

[RoyM]

I suffered from Floppy Iris syndrome during my recent cataract surgery. The condition was caused by the drugs taken to help relief the symptoms of benign prostrate enlargement. The surgeon was aware of the possiblity during surgery...but it still occured and caused some complications to what really is a simple and common procedure. My eye now is very slow to react to bright sunlight and slow to react when I go out of sunlight into a darker environment.

[secondtry in reply to RoyM]

Would be interested to know which drug(s) for BPE was the culprit. I take Prostex sold by Lamberts in the UK and that appears to have worked well with no known side effect to date.

[RoyM in reply to secondtry]

Hi Secondtry. The drug I took was Tamolosin I took it for 2 years with very little if any improvement. I stopped the drug 12 months before cataract operation but it still caused the floppy iris syndrome. Roy

[Finvola in reply to RoyM]

Yes Roy - BPE drugs are the only link I can find and I'm now even more sceptical that Flecainide is involved at all. I do hope your reaction times settle down and you can fully enjoy your restored vision. Best wishes.

[Cookie24]

Could you ask your op surgeon for a medical reference link to the issue with Flecainide?