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[Surgery on the eye under anticoagulative therapy (author's transl)]
Klinische Monatsblatter Fur Augenheilkunde
|January 1, 1979
Summary
Eye surgery is feasible for patients on long-term anticoagulation therapy. Careful surgical techniques and monitoring of thromboplastin time (Quick) are essential to minimize bleeding risks during these procedures.
Area of Science:
- Ophthalmology
- Cardiology
Context:
- Patients on long-term anticoagulation therapy present unique challenges for elective eye surgery.
- Managing bleeding risks is paramount in ophthalmic procedures.
Purpose:
- To outline safe surgical protocols for ophthalmic procedures in patients receiving anticoagulation therapy.
- To detail methods for minimizing hemorrhage during eye surgery.
Summary:
- Ophthalmic surgery is possible in patients on anticoagulation therapy.
- Recommended techniques include using suprarenin solution, vessel coagulation, and microscopic visualization.
- Local anesthesia is preferred but carries a risk of retrobulbar hematoma.
- Maintaining thromboplastin time (Quick) above 15% of normal is advised, in consultation with an internist.
Impact:
- Enables necessary eye surgeries for patients on anticoagulation.
- Provides a framework for reducing surgical complications and improving patient outcomes.
- Highlights the importance of multidisciplinary collaboration between ophthalmologists and internists.