Continuation of Aspirin Therapy before Cataract Surgery with Different Incisions: Safe or Not?

Li, Qingjian; Qian, Yiwen; Zhang, Yu; Sun, Ge; Zhou, Xian; Wang, Zhiliang

doi:10.1155/2018/6543937

Cited by 7 publications

(3 citation statements)

References 21 publications

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“…Cataract surgery is a safe surgery, despite the large number of elderly patients with high rates of co-morbidities undergoing the surgery. 4,5 The rates of all adverse events were extremely low. Among routine users of Aspirin, there was no evidence to suggest that patients who continued use were at an increased risk of ocular hemorrhagic events, nor that those who discontinued use were at increased risk of medical events.…”

Section: Discussionmentioning

confidence: 96%

To stop or to continue aspirin prior to manual small incision cataract surgery

Pooja¹,

Gowda²,

Madhuri³

2021

IJCEO

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To ascertain whether to stop or continue aspirin before cataract surgery. Prospective observational study from July 2018 to June 2019. Information on pre-existing medical conditions like cardiac disease/stroke & use of Aspirin was obtained from patients posted for cataract surgery. Physical examination was done by physician & decided whether aspirin has to be stopped before surgery. Intra-operative and post-operative outcomes were recorded. SPSS 20.0 by using descriptive statistics i.e. only frequency and percentage. Out of 64 patients, 38 discontinued aspirin and 26 continued. In the group of patients who discontinued aspirin, 2 had bleeding complication in the form of bleeding from cut ends of conjunctiva. Where as in the group who continued aspirin 4 patients had bleeding complication. No thromboembolic events were recorded in both the groups. The risk of medical & ophthalmic events surrounding cataract surgery were so low that absolute differences in risk associated with changes in Aspirin use were minimal.

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Section: Discussionmentioning

confidence: 96%

To stop or to continue aspirin prior to manual small incision cataract surgery

Pooja¹,

Gowda²,

Madhuri³

2021

IJCEO

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“…These procedures have a low risk of ocular hemorrhage and cessation of anticoagulation is not necessary in most patients. All antithrombotic drugs can be continued if the cataract surgery is performed under topical or sub-Tenon’s (episcleral) block ( 20 ). Even if local anesthesia is performed with sharp needles, Aptl and Acoag therapy can be continued provided that the international normalized ratio (INR) for vitamin K antagonists (VKA) is in the therapeutic range.…”

Section: Discussionmentioning

confidence: 99%

Ambulatory Eye Surgery and Antithrombotic Therapy – New Approaches

Šimurina

Luketić

Župčić

et al. 2021

ACC

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SUMMARY One of the most common surgeries in elderly patients is eye surgery. An increasing number of patients undergoing ambulatory eye surgery are on antithrombotic therapy. These drugs may increase the risk of perioperative bleeding associated with ophthalmic needle blocks and/or eye surgery. Intraoperative bleeding and postoperative hemorrhagic complications may lead to the loss of vision or even eyes. On the other hand, stopping anticoagulants and antiplatelets before the surgery may increase the risk of thrombotic events with potentially life-threatening complications. The aim of this narrative review is to provide a systematic review of the published evidence for the perioperative antithrombotic management of patients undergoing different types of eye surgery in ambulatory settings. A comprehensive review of the English-language medical literature search utilizing PubMed, Ovid Medline® and Google Scholar from January 2015 to December 2018 was performed. The database searches included studies providing evidence relevant to ambulatory eye surgery and perioperative antiplatelet medications and anticoagulants. Updated recommendations will be given for continuation, discontinuation, and modification of antithrombotic agents in order to optimize the management of antithrombotic therapies in outpatients scheduled for eye surgery.

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“…For all statistical analyses, BCVA was presented as logarithm of the minimum angle of resolution (logMAR) value. 23,24 IOP > 30 mmHg or < 6 mmHg was considered as ocular hypertension or hypotension, respectively. [24][25][26] The postoperative BCVA and surgical complications were used as the main measurement indicators.…”

Section: Data Collectionmentioning

confidence: 99%

Idiopathic Epiretinal Membrane Surgery in Patients Aged Over 80 Years: Efficacy and Safety

Li,

Yang,

et al. 2023

OPTH

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Purpose To evaluate the efficacy and safety of idiopathic epiretinal membrane (ERM) surgery in patients aged over 80 years. Methods Consecutive patients who underwent pars plana vitrectomy (PPV) combined with ERM and internal limiting membrane (ILM) peeling with retrobulbar anesthesia were recruited. Based on age, the patients were divided into the elderly group (≥ 80 years of age) and the control group (< 80 years of age). The best-corrected visual acuity (BCVA) and surgical complications were regarded as the main measurement indicators. Results This study included 43 eyes from 43 patients aged 80 to 91 years and 86 eyes from 86 patients aged 54 to 79 years. Surgical intervention substantially improved BCVA both in the elderly and control groups (p = 0.005 and p < 0.001, respectively). Statistical analyses showed no significant difference in the incidence of surgical complications between the two groups (p = 0.631). The operations in either group were not delayed or canceled for the reason of complications of retrobulbar anesthesia, severe anxiety, or physical discomfort in the perioperative period. Moreover, no patient required a second operation. Also, no stroke, myocardial infarction, or death occurred during the follow-up period. All the surgical complications were treated satisfactorily. Conclusion Our outcomes indicate that PPV combined with ERM and ILM peeling with retrobulbar anesthesia is effective and safe in elderly patients aged 80 years or older. Based on age alone, we believe that advancing age should not be the risk factor for idiopathic ERM surgery.

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Continuation of Aspirin Therapy before Cataract Surgery with Different Incisions: Safe or Not?

Cited by 7 publications

References 21 publications

To stop or to continue aspirin prior to manual small incision cataract surgery

To stop or to continue aspirin prior to manual small incision cataract surgery

Ambulatory Eye Surgery and Antithrombotic Therapy – New Approaches

Idiopathic Epiretinal Membrane Surgery in Patients Aged Over 80 Years: Efficacy and Safety

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