title: Ophthalmic patients on antithrombotic drugs: a review and guide to perioperative management.
abstract: 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.
authors.affiliation: Department of Anaesthesia, SWBH NHS Trust, Birmingham, UK.
authors.forename: K-L
authors.initials: KL
authors.lastname: Kong
authors.affiliation: Department of Cardiology, SWBH NHS Trust, Birmingham, UK.
authors.forename: J
authors.initials: J
authors.lastname: Khan
mesh_terms: D000925:Anticoagulants / Q000008:administration & dosage*; D005128:Eye Diseases / Q000601:surgery; D005130:Eye Hemorrhage / Q000517:prevention & control*; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D006801:Humans; D013508:Ophthalmologic Surgical Procedures; D019990:Perioperative Care; D010975:Platelet Aggregation Inhibitors / Q000008:administration & dosage*; D019106:Postoperative Hemorrhage / Q000517:prevention & control*; D012307:Risk Factors
chemical_list: D000925:Anticoagulants; D005343:Fibrinolytic Agents; D010975:Platelet Aggregation Inhibitors
keywords: Drugs; Glaucoma; Pharmacology; Posterior Chamber; Treatment Surgery