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‘A bottle of intraoperative floppy iris pills please, pharmacist’
  1. D Lindfield,
  2. S Strong,
  3. Colonel M Griffiths
  1. Ophthalmology, Frimley Park Hospital, Portsmouth Road, Camberley, Surrey, UK
  1. Correspondence to D Lindfield, Ophthalmology, Frimley Park Hospital, Portsmouth Road, Camberley, Surrey GU16 7UJ, UK; danlindfield{at}

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We are writing to inform of a recent licensing change allowing tamsulosin to be available without prescription. Intraoperative floppy iris syndrome, the intraoperative effects of α-adrenergic blockers during cataract surgery, was first described in 2005 with tamsulosin but later found to be an α-blocker class effect.1 While strategies can be employed to counteract intraoperative difficulties, …

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  • Competing interests None.

  • Provenance and peer review Not commissioned; not externally peer reviewed.