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 . 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 , 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 . 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
Graefe's Archive for Clinical and Experimental Ophthalmology – Springer Journals
Published: Jan 17, 2018
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