PMID: 9181327Jan 1, 1996Paper

Cataract surgery and anticoagulants

Documenta Ophthalmologica. Advances in Ophthalmology
S A Koopmans, G Van Rij

Abstract

A questionnaire was sent to 240 members of the Netherlands Intraocular Implant Club (NIOIC) to register their policy followed in 1993 with regard to anticoagulant therapy (ACT) and the use of aspirin in patients having cataract surgery. Ninety-one (32%) forms were suitable for analysis. Most eye surgeons (76%) declared to discontinue anticoagulant therapy and the use of aspirin prior to cataract surgery, especially when using local anesthesia. After stopping anticoagulant therapy and the use of aspirin serious systemic complications were reported. Furthermore, ocular complications were reported due to continuation of ACT and the use of aspirin during surgery. Although the response rate to the enquiry was 32% only, we would suggest that continuation of ACT and the use of aspirin during surgery is to be recommended because of the possible life threatening complications related to discontinuing ACT and the use of aspirin. Risks of bleeding can be minimized further by using topical anesthesia, sub-tenon anesthesia and clear corneal surgery.

References

Aug 1, 1989·Documenta Ophthalmologica. Advances in Ophthalmology·A C MollT L van der Loos
Sep 1, 1988·Journal of Cataract and Refractive Surgery·L B McMahan
Mar 1, 1985·Journal - American Intra-Ocular Implant Society·L S StoneC Sklar

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Citations

Mar 4, 2006·Nursing Forum·Don R Hirschman, Lesa J Morby
Jul 4, 2006·Journal of Cataract and Refractive Surgery·Nishant KumarHamish McLure
Aug 29, 2006·Neurologic Clinics·Melissa J ArmstrongJosé Biller

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