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Anticoagulant therapy and cataract surgery.

A C Moll¹, G van Rij, T L van der Loos

¹Department of Ophthalmology, Erasmus University, Rotterdam, The Netherlands.

Documenta Ophthalmologica. Advances in Ophthalmology

|August 1, 1989

Summary

Continuing anticoagulant therapy (ACT) and aspirin use during cataract surgery is recommended. Stopping ACT led to serious systemic complications, while continuing it resulted in fewer ocular complications.

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Area of Science:

Ophthalmology
Cardiology
Clinical Pharmacy

Background:

Cataract surgery is a common procedure.
Anticoagulant therapy (ACT) and aspirin are frequently used medications.
The management of these medications around surgery can impact patient outcomes.

Purpose of the Study:

To investigate the perioperative management of anticoagulant therapy (ACT) and aspirin use in cataract surgery.
To assess the complications associated with different management strategies.

Main Methods:

A questionnaire was distributed to 200 members of the Netherlands Intraocular Implant Club (NIOIC).
Ninety-two responses were analyzed regarding policies in 1988 for ACT and aspirin use.
Complications were recorded based on whether ACT and aspirin were continued or stopped.

Main Results:

62% of surgeons discontinued ACT, while only 33% stopped aspirin.
Discontinuing ACT resulted in nine serious systemic complications.
Continuing ACT led to three ocular complications.

Conclusions:

Continuation of anticoagulant therapy (ACT) and aspirin use is advisable during cataract surgery.
This approach appears to minimize serious systemic and ocular complications.
Evidence supports current guidelines recommending cautious management of ACT and aspirin in this context.

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