Should we stop anti-thrombotic agents prior to vitrectomy?

Should we stop anti-thrombotic agents prior to vitrectomy? Graefe's Archive for Clinical and Experimental Ophthalmology (2018) 256:459–460 https://doi.org/10.1007/s00417-017-3898-0 EDITORIAL (BY INVITATION) 1 2 3 David Yorston & David Wong & Antonia Joussen Received: 29 December 2017 /Accepted: 29 December 2017 / Published online: 17 January 2018 Springer-Verlag GmbH Germany, part of Springer Nature 2018 All retinal surgeons are occasionally faced with the dilemma haemorrhagic complications. Anecdotally, we are aware of of operating on a patient who is taking anti-thrombotic med- reports of severe intra-operative haemorrhage associated with ication. Although there is clear guidance that anti-thrombotics anti-platelet agents—particularly clopidogrel [1]. pose little risk in cataract surgery, the situation is more con- The risk of haemorrhage is likely to be affected by the fused when it comes to vitreoretinal surgery [1], and there are indication for vitrectomy. We would expect a lower risk in surgery for macular hole or epiretinal membrane, compared wide variations in practice. Vitrectomies are more likely to be affected by haemorrhagic complications than clear cornea to delamination for proliferative diabetic retinopathy [2]. phacoemulsification, and the consequences of bleeding into Bleeding complications occurred in 17.6% of eyes undergoing the eye during a vitrectomy can be very serious. The paper by surgery for complications of proliferative diabetic http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Graefe's Archive for Clinical and Experimental Ophthalmology Springer Journals

Should we stop anti-thrombotic agents prior to vitrectomy?

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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2018 by Springer-Verlag GmbH Germany, part of Springer Nature
Subject
Medicine & Public Health; Ophthalmology
ISSN
0721-832X
eISSN
1435-702X
D.O.I.
10.1007/s00417-017-3898-0
Publisher site
See Article on Publisher Site

Abstract

Graefe's Archive for Clinical and Experimental Ophthalmology (2018) 256:459–460 https://doi.org/10.1007/s00417-017-3898-0 EDITORIAL (BY INVITATION) 1 2 3 David Yorston & David Wong & Antonia Joussen Received: 29 December 2017 /Accepted: 29 December 2017 / Published online: 17 January 2018 Springer-Verlag GmbH Germany, part of Springer Nature 2018 All retinal surgeons are occasionally faced with the dilemma haemorrhagic complications. Anecdotally, we are aware of of operating on a patient who is taking anti-thrombotic med- reports of severe intra-operative haemorrhage associated with ication. Although there is clear guidance that anti-thrombotics anti-platelet agents—particularly clopidogrel [1]. pose little risk in cataract surgery, the situation is more con- The risk of haemorrhage is likely to be affected by the fused when it comes to vitreoretinal surgery [1], and there are indication for vitrectomy. We would expect a lower risk in surgery for macular hole or epiretinal membrane, compared wide variations in practice. Vitrectomies are more likely to be affected by haemorrhagic complications than clear cornea to delamination for proliferative diabetic retinopathy [2]. phacoemulsification, and the consequences of bleeding into Bleeding complications occurred in 17.6% of eyes undergoing the eye during a vitrectomy can be very serious. The paper by surgery for complications of proliferative diabetic

Journal

Graefe's Archive for Clinical and Experimental OphthalmologySpringer Journals

Published: Jan 17, 2018

References

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