Perioperative management of ophthalmic patients on antithrombotic therapy
10.3980/j.issn.1672-5123.2015.7.19
- VernacularTitle:抗栓治疗患者眼科围手术期的处理
- Author:
Jin, YAN
;
Li, WANG
;
Yang, YANG
- Publication Type:Journal Article
- Keywords:
antiplatelet agents;
perioperative management;
anticoagulants;
ophthalmic surgery
- From:
International Eye Science
2015;(7):1190-1193
- CountryChina
- Language:Chinese
-
Abstract:
The large majority of elderly patients undergoing ophthalmic surgery take antiplatelet and anticoagulant drugs on a regular basis. Antithrombotic treatments predisposes to bleeding complications that may lead to retrobulbar haemorrhage, suprachoroidal haemorrhage and ultimately, to loss of vision. However, discontinuation of antithrombotic medication in such patients may lead to thromboembolic events with serious consequences. There are no guidelines on perioperative management of ophthalmic patients who are on antiplatelet and anticoagulant drugs. We reviewed traditional and newer agents in the context of cataract, vitreoretinal, glaucoma and oculoplastic surgery. Recommendations are given for continuation, cessation and recommencement of these agents in order to minimise the risk of bleeding and thrombotic complications.
