2/4/2023 0 Comments Aao bcsc questions![]() ![]() The perioperative management of antithrombotic agents is variable among U. 5 Further, in procedures where many antithrombotics are often not discontinued, such as cataract surgery, the addition of an anesthetic block may increase orbital hemorrhagic risk by 5-fold. 2, 3, 4 In addition, Tsirbas and McNab found that 40% of cases of delayed epistaxis – a potentially life-threatening occurrence – identified after lacrimal surgery involved ongoing use of nonsteroidal anti-inflammatory drugs (NSAIDs). 1 Eyelid or orbital surgeries performed on patients taking certain antithrombotics in the perioperative period may substantially increase the risk of orbital hemorrhage and permanent vision loss. In trabeculectomy surgery, for example, use of aspirin has been associated with a 50.9% incidence of vision-threatening hyphema, compared to 28.0% in nonusers. ![]() ![]() While many ophthalmologic procedures are performed safely without cessation of antithrombotic agents, others routinely require consideration of antithrombotic interruption due to potential vision-threatening hemorrhagic risks. ![]() In ophthalmic and orbital surgery, perioperative use of antithrombotic medications may significantly increase bleeding risk in certain procedures and cause significant morbidity. ![]()
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