Peribulbar anesthesia in 750 patients treated with oral anticoagulants
<b>AIM:</b> To check the safety of continuation of oral anticoagulants in ophthalmic procedures requiring a peribulbar anesthesia.<b>METHOD:</b>A prospective case control study included 750 patients with oral anticoagulants in group A and 750 patients who had never been treat...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Press of International Journal of Ophthalmology (IJO PRESS)
2014-02-01
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| Series: | International Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3949469/ |
| Summary: | <b>AIM:</b> To check the safety of continuation of oral anticoagulants in ophthalmic procedures requiring a peribulbar anesthesia.<b>METHOD:</b>A prospective case control study included 750 patients with oral anticoagulants in group A and 750 patients who had never been treated with oral anticoagulant in group B. Hemorrhages were graded as follows:1) spot ecchymosis of eyelid and or subconjunctival hemorrhage; 2) eyelid ecchymosis involving half of the lid surface area; 3) eyelid ecchymosis all around the eye, no increase in intraocular pressure; 4) retrobulbar hemorrhage with increased intraocular pressure.<b>RESULTS:</b> In group A, grade 1 was observed in 13 patients (1.74%) and grade 2 in 2 patients (0.26%). In group B, grade 1 was observed in 12 patients (1.6%) and grade 2 was absent. No 3 or 4 hemorrhage grade was encountered in both groups. There was not significant difference in grade 1 hemorrhage between both groups (<i>P</i>=0.21).<b>CONCLUSION:</b>Oral anticoagulants were not associated with a significant increase in potentially sight-threatening local anesthetic complications. |
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| ISSN: | 2222-3959 2227-4898 |