Perioperative management of anticoagulant users scheduled for glaucoma surgery: a survey among the Brazilian Glaucoma Society members

Assessment of the attitude, awareness and practice of periprocedural warfarin management among health care professional in Qatar. A cross sectional survey

“…This was reflected when most of the participants chose to stop warfarin in cataract and tooth extraction surgeries in separate questions. Similar trends were expressed by participants in this survey and those described by Starks et al [18], Krahan et al [19], and Balbino et al [20] (75%, 83%, and 83% interrupted warfarin preoperatively correspondingly). We believe that this clinical practice leans towards fear of bleeding events from warfarin much more than thromboembolic events.…”

3rd GUIDELINE FOR PERIOPERATIVE CARDIOVASCULAR EVALUATION OF THE BRAZILIAN SOCIETY OF CARDIOLOGY

“…In Brazil, the fear of hemorrhagic complications, including bruising in the periorbital region, is responsible for the indiscriminate interruption of aspirin and warfarin in 82.7% of patients who undergo glaucoma surgeries. 270 …”

Safety of warfarin therapy during cataract surgery under topical anesthesia

“…Most members of the Canadian Society of Cataract and Refractive Surgery do not recommend suspending warfarin prior to cataract surgery (16) . However, it has been presented that most glaucoma surgeons discontinue the use of anticoagulants (warfarin or aspirin) before antiglaucoma surgery (17) . The results of the present study are in agreement with reports in the literature that state that there is no significant increase in bleeding that could potentially afflict vision in patients undergoing cataract surgery while using antiplatelet or anticoagulant therapy (1,18,19) , particularly when the surgery is conducted under topical anesthesia (20,21) .…”