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Department of Anesthesiology

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Cataract surgery in anticoagulated patients.

TitleCataract surgery in anticoagulated patients.
Publication TypeJournal Article
Year of Publication1991
AuthorsRoberts CW, Woods SM, Turner LS
JournalJ Cataract Refract Surg
Volume17
Issue3
Pagination309-12
Date Published1991 May
ISSN0886-3350
KeywordsAged, Anticoagulants, Blood Loss, Surgical, Cataract Extraction, Cell Count, Endothelium, Corneal, Female, Hemostasis, Humans, Lenses, Intraocular, Prospective Studies, Suture Techniques, Visual Acuity
Abstract

A prospective study was performed on 31 patients having planned extracapsular cataract extraction with posterior chamber intraocular lens implantation. The patients were considered to be anticoagulated because of the medications they were taking. The patients were instructed to continue their usual medications throughout the perioperative period including the day of surgery. All patients had routine narcoleptic sedation and retrobulbar anesthesia. The surgical technique was altered to use an inferior corneal traction suture and a single planed clear corneal incision. No intraoperative or postoperative anterior chamber bleeding was seen. The observed complications were increased awareness of corneal sutures, increased endothelial cell loss, delayed visual rehabilitation from with-the-rule astigmatism, and transient corneal edema. All patients achieved 20/40 or better visual acuity without corneal edema by three months post-surgery.

Alternate JournalJ Cataract Refract Surg
PubMed ID1861244