Hemorrhage risk in patients undergoing ocular surgery
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Abstract
As a result of increasing volume of ophthalmic procedures and common use of antiplatelets or anticoagulants, the risk of using them in the perioperative period should be determined. The aim of this study was to assess the risk of bleeding in patients undergoing ophthalmic surgery based on current literature and to prepare polish recommendations in this field. Trabeculectomy, scleral buckling and vitrectomy in diabetic patients present high risk of bleeding. Phacoemulsification cataract surgery and intravitreal injections manifest low risk of intraoperative bleeding, and do not require a change in antiplatelet or anticoagulant agents dosage. Any preoperative dosage change in high-risk procedures should be consulted with the patient’s medical doctors and include an analysis of possible consequences.
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