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Cataract surgery and anticoagulants

S A Koopmans¹, G van Rij

¹Department of Ophthalmology, University of Groningen, The Netherlands.

Documenta Ophthalmologica. Advances in Ophthalmology

|January 1, 1996

Summary

Discontinuing anticoagulant therapy (ACT) and aspirin before cataract surgery may lead to serious systemic complications. Continuing these medications, with specific anesthetic and surgical techniques, is recommended to minimize risks.

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Area of Science:

Ophthalmology
Cardiology

Background:

Cataract surgery is a common procedure.
Anticoagulant therapy (ACT) and aspirin use are prevalent in many patients.
Managing ACT and aspirin around surgery presents a clinical dilemma.

Purpose of the Study:

To investigate the current practices of the Netherlands Intraocular Implant Club (NIOIC) regarding ACT and aspirin in cataract surgery patients.
To assess the complications associated with discontinuing or continuing ACT and aspirin.

Main Methods:

A questionnaire was distributed to 240 NIOIC members regarding their policies in 1993.
Ninety-one responses (32% completion rate) were analyzed.

Main Results:

76% of surgeons reported discontinuing ACT and aspirin, particularly with local anesthesia.
Serious systemic complications were reported after stopping ACT and aspirin.
Ocular complications occurred when ACT and aspirin were continued during surgery.

Conclusions:

Continuation of ACT and aspirin during cataract surgery is suggested due to the risk of life-threatening systemic complications from discontinuation.
Minimizing bleeding risks can be achieved through topical anesthesia, sub-tenon anesthesia, and clear corneal surgery techniques.

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