Anticoagulation: a practical guide for strabismus surgeons

Shira L Robbins; Jeffrey W Wang; Jeffrey R Frazer; Mark Greenberg

doi:10.1016/j.jaapos.2018.12.008

Anticoagulation: a practical guide for strabismus surgeons

J AAPOS. 2019 Aug;23(4):193-199. doi: 10.1016/j.jaapos.2018.12.008. Epub 2019 Apr 11.

Authors

Shira L Robbins¹, Jeffrey W Wang², Jeffrey R Frazer³, Mark Greenberg⁴

Affiliations

¹ Viterbi Family Department of Ophthalmology, University of California, San Diego; Ratner Children's Eye Center at the Shiley Eye Institute, University of California, San Diego. Electronic address: srobbins@ucsd.edu.
² Viterbi Family Department of Ophthalmology, University of California, San Diego.
³ Department of Pediatrics, University of California, Los Angeles.
⁴ Department of Anesthesia, University of California, San Diego.

PMID: 30981895
DOI: 10.1016/j.jaapos.2018.12.008

Abstract

An increasing number of surgical strabismus patients are taking oral anticoagulant and antiplatelet agents, with more diverse mechanisms of action than those used in the past. The decision as to whether to continue these drugs throughout the perioperative period is difficult and must be based on the balance between hemorrhagic and thrombotic risk. To help guide strabismus surgeons with clinical management in these cases, we review potential hemorrhagic complications of strabismus surgery and examine the use of anticoagulant and antiplatelet drugs during the perioperative period. Surgical strategies that might help minimize intraoperative hemorrhage in patients on anticoagulant therapy are also discussed.

Publication types

Research Support, Non-U.S. Gov't
Review

MeSH terms

Anticoagulants / adverse effects*
Decision Making
Eye Hemorrhage / chemically induced*
Eye Hemorrhage / epidemiology
Global Health
Humans
Incidence
Ophthalmologic Surgical Procedures*
Risk Assessment / methods*
Strabismus / surgery*

Substances

Anticoagulants