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Strabismus surgery in patients receiving warfarin anticoagulation
Pavlina S Kemp1, Scott A Larson1, Arlene V Drack1
1Department of Ophthalmology, University of Iowa, Iowa City, Iowa.
Summary
Many ophthalmologists stop warfarin for strabismus surgery. This study shows strabismus surgery is safe for patients on warfarin, with no excessive bleeding, challenging current practice.
Area of Science:
- Ophthalmology
- Cardiology
- Surgical Safety
Background:
- Chronic warfarin anticoagulation is often discontinued for elective surgeries.
- Strabismus surgery typically requires careful consideration of anticoagulation management.
- Current guidelines often recommend alternatives to warfarin for patients undergoing ophthalmic procedures.
Observation:
- Three cases of strabismus surgery were performed on patients maintained on chronic warfarin therapy.
- Intraoperative and postoperative periods were monitored for excessive bleeding.
- No significant hemorrhagic complications were noted in any of the cases.
Findings:
- Strabismus surgery can be safely performed in patients continuing warfarin anticoagulation.
- Warfarin management did not lead to increased bleeding risks during or after strabismus surgery.
- This case series provides initial evidence supporting the safety of continuing warfarin for strabismus surgery.
Implications:
- Ophthalmologists may reconsider the routine discontinuation of warfarin for strabismus surgery.
- This finding could simplify perioperative management for patients on warfarin.
- Further research is warranted to confirm these findings in larger cohorts.
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