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Alpha-blockers call for modification in cataract surgery

rgeon tearing a portion of the eye that holds the artificial lens in place, Chang said.

"If we know that patients have ever used Flomax or the other drugs, we can use different, longer-lasting dilation eye drops or micro-hooks to keep the pupil completely dilated during surgery," Chang said. "Taking these measures, which eye surgeons normally wouldn't use, will prevent potential problems and result in an excellent prognosis. The issue is that when the pupil isn't completely dilated, surgeons just can't see what they're doing as well."

The medical associations jointly released a patient advisory on Aug. 22, based on the findings. Chang warned eye surgeons about drug-related problems during cataract surgery by e-mail alert, which was started by him last year.

The U.S. Food and Drug Administration approved a label change in November 2005, for the alpha-blockers that read, "The patient's ophthalmologist should be prepared for possible modifications to their surgical technique." It now finds a place in patient information material for Flomax.

Boehringer Ingelheim Pharmaceuticals Inc., maker of Flomax, has also sent letters to ophthalmologists and urologists about the possible complications during cataract surgery, according to the spokeswoman for that company, Kate O'Connor.

A cataract is a sight-affecting problem. The lens in the eye gets clouded and this increases with age. Cataracts usually begin to develop after the age of 50 and, by the age of 80, more than half of all Americans either have a cataract or have had cataract surgery.

An enlarged prostate, or benign prostatic hyperplasia (BPH), is also an age related problem.50% of the men are affected by the age of 60 and around 90% are affected by the age of 70 years. Urination difficulty such as a weak stream, dribbling after urination, a feeling the bladder is not completely empty, and frequent overnight bathroom visits is brought about by this proble
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