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Anticoagulation: a practical guide for strabismus surgeons.

Shira L Robbins1, Jeffrey W Wang2, Jeffrey R Frazer3

  • 1Viterbi Family Department of Ophthalmology, University of California, San Diego; Ratner Children's Eye Center at the Shiley Eye Institute, University of California, San Diego.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|April 15, 2019
PubMed
Summary
This summary is machine-generated.

Managing patients on blood thinners undergoing strabismus surgery requires balancing bleeding and clotting risks. This review guides surgeons on perioperative anticoagulant and antiplatelet drug use to minimize complications.

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Area of Science:

  • Ophthalmology
  • Cardiology
  • Pharmacology

Background:

  • Increasing use of diverse oral anticoagulants and antiplatelet agents in strabismus surgery patients.
  • Perioperative management decisions are complex, balancing hemorrhagic versus thrombotic risks.

Purpose of the Study:

  • To review hemorrhagic complications of strabismus surgery.
  • To examine perioperative anticoagulant and antiplatelet drug use.
  • To discuss surgical strategies for minimizing intraoperative hemorrhage.

Main Methods:

  • Literature review of strabismus surgery complications.
  • Analysis of perioperative management of anticoagulant and antiplatelet therapies.
  • Discussion of surgical techniques to reduce bleeding.

Main Results:

  • Identification of potential hemorrhagic risks associated with strabismus surgery.
  • Evaluation of current practices for managing patients on antithrombotic medications.
  • Exploration of surgical modifications to mitigate bleeding.

Conclusions:

  • Careful consideration of individual patient risk is crucial for perioperative management.
  • Optimizing surgical techniques can help reduce bleeding in patients on anticoagulant therapy.
  • Further research may be needed to establish definitive guidelines.