Related Experiment Videos
Thrombocytopenia and the risks of intraocular surgery
Demosthenes G Papamatheakis1, Pierre Demers, André Vachon
1Hôpital Maisonneuve-Rosemont, Centre de Recherche Guy-Bernier, Universite de Montréal, Department of Ophthalmology, Montrèal, Quebec, Canada.
Background And Objective:
In thrombocytopenia, a hemorrhagic diathesis is usually present due to a low platelet count and has been related to the development of cataracts and retinopathy. The concomitant administration of nonsteroidal anti-inflammatory drugs can increase the hemorrhagic diathesis. The purpose of this study was to investigate the impact of thrombocytopenia during and after intraocular surgery.
Patients And Methods:
A retrospective study of medical files of patients who had undergone cataract and glaucoma filtering surgery and were diagnosed as having thrombocytopenia between 1994--1995 and 1998--1999 was conducted. Eight patients with a total of 11 surgical procedures were included in this study.
Results:
Hemorrhagic complications occurred in 2 of the 11 procedures, for an incidence of 18%. These 2 cases are described in detail.
Conclusions:
The current study confirms that thrombocytopenia is a significant risk factor for perioperative bleeding in ocular surgery. A routine questionnaire should be completed before ocular surgery and a complete blood cell count obtained in suspect cases. Consultation with a hematologist is warranted in cases of thrombocytopenia.
Related Concept Videos
Venous Thrombosis III: Interprofessional Care
Glaucoma: Overview
Venous Thrombosis I: Introduction
Angle Closure Glaucoma: Treatment
Anticoagulant Drugs: Low-Molecular-Weight Heparins
Open Angle Glaucoma: Treatment
Drugs such as carbonic anhydrase inhibitors, α2- and...