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Br J Ophthalmol. 2015 Aug;99(8):1025-30. doi: 10.1136/bjophthalmol-2014-306036. Epub 2014 Nov 25.

Ophthalmic patients on antithrombotic drugs: a review and guide to perioperative management.

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Department of Anaesthesia, SWBH NHS Trust, Birmingham, UK.
Department of Cardiology, SWBH NHS Trust, Birmingham, UK.


The changing profile of patients undergoing ophthalmic surgery, with an increase in prevalence of antiplatelet and anticoagulant drug use, predisposes to bleeding complications. This mandates an awareness of these agents, allowing optimal patient management. We review traditional and newer agents in the context of cataract, vitreoretinal, glaucoma and oculoplastic surgery. Recommendations are given for continuation, cessation and re-commencement of these agents in order to minimise the risk of bleeding and thrombotic/thromboembolic complications.


Drugs; Glaucoma; Pharmacology; Posterior Chamber; Treatment Surgery

[Indexed for MEDLINE]

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