Hemorrhagic Complications from Glaucoma Surgery in Patients on Anticoagulation Therapy or Antiplatelet Therapy

Law, Simon K.; Song, Brian J.; Yu, Fei; Kurbanyan, Kristina; Yang, Tien-An; Caprioli, Joseph

doi:10.1016/j.ajo.2007.12.007

Cited by 64 publications

(42 citation statements)

References 30 publications

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“…It is advisable to stop anticoagulant therapy preoperatively to minimize the hemorrhagic complications. [9] Acute retrobulbar hemorrhage presents as proptosis associated with hardening of the eye, discoloration of lids and subconjunctival hemorrhage following local anesthetic injection. [10] Elevated intraocular pressure (IOP) that occurs with retrobulbar hemorrhage can compromise blood flow to the optic nerve in advanced glaucoma.…”

Section: Peroperative Complicationsmentioning

confidence: 99%

Management of complications in glaucoma surgery

Vijaya

Panday

George

et al. 2011

Indian J Ophthalmol

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Surgical option for glaucoma is considered when other modalities are not working out to keep the intraocular pressure under control. Since the surgical procedures for glaucoma disrupt the integrity of the globe, they are known to produce various complications. Some of those complications can be vision-threatening. To minimize the morbidity, it is very important that one should know how to prevent them, recognize them and treat them. The objective of this article is to provide insight into some of those complications that will help the ophthalmologists in treating glaucoma patients in their clinical practice.

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Section: Peroperative Complicationsmentioning

confidence: 99%

Management of complications in glaucoma surgery

Vijaya

Panday

George

et al. 2011

Indian J Ophthalmol

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“…Intraoperative or postoperative bleeding complications, including hyphaema, intrableb bleeding and suprachoroidal haemorrhage have been reported which can result in failure of the filtration procedure or loss of sight. The evidence suggests that such complications occur more frequently in patients with Ap/Ac medications 26. Although associated with an increased risk of hyphaema, it may be safe to continue aspirin in patients undergoing trabeculectomy 27.…”

Section: Discussionmentioning

confidence: 99%

Managing antiplatelet and anticoagulant drugs in patients undergoing elective ophthalmic surgery

et al. 2014

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The management of antiplatelet and anticoagulant treatment can be challenging for the ophthalmic surgeon with the risk of impaired surgical view or potentially sight-threatening haemorrhage. With the advent of newer medications and the expanding usage of these drugs, there is a need for up-to-date guidance on the subject. This paper describes the current use of modern antiplatelet and anticoagulant drugs in the UK, and reviews the evidence of such treatments in the context of ophthalmic surgery. A multidisciplinary approach has been used to develop a guideline for the management of antiplatelet and anticoagulation treatment in elective ophthalmic surgery. Specifically, guidance is provided on when and how to stop antiplatelet and anticoagulant treatment and, importantly, when to seek specialist medical advice.

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“…Law et al .,2 reported that patients receiving chronic anti-coagulants therapy (ACT) have a statistically significant increased rate of hemorrhagic complications during and after glaucoma surgery. Patients who continued ACT during glaucoma surgery had the highest rate of hemorrhagic complications 2.…”

Section: Discussionmentioning

confidence: 99%

Postoperative suprachoroidal hemorrhage in a glaucoma patient on low molecular weight heparin

AlHarkan¹,

Aljadaan²

2013

Middle East Afr J Ophthalmol

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Suprachoroidal hemorrhage is a complication associated with intraocular surgery that can occur both intraoperatively and postoperatively. Several intraoperative or postoperative risk factors have been indentified. The use of low-molecular weight heparin (LMWH) is considered one of the risk factors in surgical cases (ocular or non ocular) and non-surgical cases. Here we present a case of suprachoroidal hemorrhage in a glaucoma patient that occurred after preoperative prophylactic LMWH for deep venous thrombosis. The use of LMWH has been reported to cause suprachoroidal hemorrhage even in patients without any risk factors. The use of LMWH continues to increase, hence it is important to be aware of the possibility of suprachoroidal hemorrhage and to determine the risk/benefit ratio, especially in patients with other risk factors.

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Hemorrhagic Complications from Glaucoma Surgery in Patients on Anticoagulation Therapy or Antiplatelet Therapy

Cited by 64 publications

References 30 publications

Management of complications in glaucoma surgery

Management of complications in glaucoma surgery

Managing antiplatelet and anticoagulant drugs in patients undergoing elective ophthalmic surgery

Postoperative suprachoroidal hemorrhage in a glaucoma patient on low molecular weight heparin

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