Anticoagulants and antiplatelet drugs during cataract surgery

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art_KARA-JUNIOR_Anticoagulants_and_antiplatelet_drugs_during_cataract_surgery_2018.PDF (244.58 KB)
Citações na Scopus
2
Tipo de produção
article
Data de publicação
2018
Editora
CONSEL BRASIL OFTALMOLOGIA
DOI
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SciELO
Scopus
Web of Science
PubMed
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Citação
ARQUIVOS BRASILEIROS DE OFTALMOLOGIA, v.81, n.4, p.348-353, 2018
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Patients undergoing cataract surgery are generally elderly, and many take drugs with systemic effects. The surgeon must be aware of the risks of continuing or discontinuing such medications perioperatively. Antiplatelet drugs and anticoagulants, prescribed to reduce the incidence of thromboembolic events, are often used in this population. This paper aims to review the perioperative use of antiplatelet and anticoagulant drugs in the setting of cataract surgery. Topical or intracameral anesthesia is preferred over anesthesia injected with needles. Aspirin can be safely continued in patients undergoing cataract surgery. Warfarin has been extensively studied, and the risk of hemorrhage associated with cataract surgery is low if the international normalized ratio is in the therapeutic range. Only a few studies of direct oral anticoagulants are available, and therefore no definite recommendations regarding those agents can be made at this time. Anesthesia in cataract surgery carries a low risk, even for patients taking anticoagulant or antiplatelet drugs. The discontinuation of this class of drugs before cataract surgery may increase the risk of thromboembolism.
Palavras-chave
Anticoagulants, Platelet aggregation inhibitors, Cataract extraction, Risk factors
URI
https://observatorio.fm.usp.br/handle/OPI/28020
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MCP
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - LIM/33