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Updated: Feb 18, 2026

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Anticoagulation in Glaucoma Surgery.

Shiraaz I Rahman1, Angela Turalba1

  • 1a Glaucoma Service, Department of Ophthalmology , Massachusetts Eye and Ear, Harvard Medical School , Boston , MA , USA.

Seminars in Ophthalmology
|November 18, 2017
PubMed
Summary
This summary is machine-generated.

Managing anticoagulation for glaucoma surgery is complex, with current evidence unclear on whether to stop these medications. Altering anticoagulation should be done cautiously and with physician consultation due to potential risks.

Keywords:
Cardiovascular diseaseclottinghemorrhagesurgical complications

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Area of Science:

  • Ophthalmology
  • Cardiology
  • Pharmacology

Background:

  • Anticoagulation medications are widely prescribed, especially in elderly patients, for various systemic conditions to prevent adverse outcomes.
  • While guidelines exist for anticoagulation management during cataract surgery, their application in glaucoma surgery remains uncertain.
  • Glaucoma surgery poses unique challenges for managing patients on anticoagulation therapy.

Purpose of the Study:

  • To explore the current diverse practices among surgeons regarding anticoagulation management in glaucoma surgery.
  • To assess the available evidence on the benefits and risks of holding anticoagulation before glaucoma surgery.
  • To provide guidance on the cautious management of anticoagulation in patients undergoing glaucoma surgery.

Main Methods:

  • Review of current literature and surgeon practices concerning anticoagulation in glaucoma surgery.
  • Analysis of the evidence regarding the necessity and safety of altering anticoagulation therapy.
  • Consideration of potential adverse events associated with both continuing and discontinuing anticoagulation.

Main Results:

  • There is significant variability in surgeon approaches to anticoagulation management for glaucoma surgery.
  • Current evidence is insufficient to definitively determine whether holding anticoagulation is beneficial.
  • The risks associated with discontinuing anticoagulation therapy can be serious.

Conclusions:

  • Decisions regarding anticoagulation for glaucoma surgery should be made judiciously.
  • Altering anticoagulation therapy should be performed sparingly and only after consulting with the prescribing physician.
  • Further research is needed to establish clear guidelines for anticoagulation management in glaucoma surgery.