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 |
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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/ |
| _version_ | 1818215393153515520 |
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| author | Emile Calenda Olivier Genevois Annie Cardon Marc Muraine |
| author_facet | Emile Calenda Olivier Genevois Annie Cardon Marc Muraine |
| author_sort | Emile Calenda |
| collection | DOAJ |
| description | <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. |
| first_indexed | 2024-12-12T06:35:22Z |
| format | Article |
| id | doaj.art-90e38548da794836b8cc5faf668cdb0a |
| institution | Directory Open Access Journal |
| issn | 2222-3959 2227-4898 |
| language | English |
| last_indexed | 2024-12-12T06:35:22Z |
| publishDate | 2014-02-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | International Journal of Ophthalmology |
| spelling | doaj.art-90e38548da794836b8cc5faf668cdb0a2022-12-22T00:34:28ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982014-02-017111011310.3980/j.issn.2222-3959.2014.01.20Peribulbar anesthesia in 750 patients treated with oral anticoagulantsEmile Calenda0Olivier Genevois1Annie Cardon2Marc Muraine3Department of Anesthesia, Rouen University Hospital, 1 rue de Germont, Rouen cedex 76031, France<br>Department of Ophthalmology, Rouen University Hospital, 1 rue de Germont, Rouen cedex 76031, FranceDepartment of Anesthesia, Rouen University Hospital, 1 rue de Germont, Rouen cedex 76031, France<br>Department of Ophthalmology, Rouen University Hospital, 1 rue de Germont, Rouen cedex 76031, France<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.http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3949469/oral anticoagulantseye procedurehemorrhageperibulbar blockperibulbar block |
| spellingShingle | Emile Calenda Olivier Genevois Annie Cardon Marc Muraine Peribulbar anesthesia in 750 patients treated with oral anticoagulants International Journal of Ophthalmology oral anticoagulants eye procedure hemorrhage peribulbar block peribulbar block |
| title | Peribulbar anesthesia in 750 patients treated with oral anticoagulants |
| title_full | Peribulbar anesthesia in 750 patients treated with oral anticoagulants |
| title_fullStr | Peribulbar anesthesia in 750 patients treated with oral anticoagulants |
| title_full_unstemmed | Peribulbar anesthesia in 750 patients treated with oral anticoagulants |
| title_short | Peribulbar anesthesia in 750 patients treated with oral anticoagulants |
| title_sort | peribulbar anesthesia in 750 patients treated with oral anticoagulants |
| topic | oral anticoagulants eye procedure hemorrhage peribulbar block peribulbar block |
| url | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3949469/ |
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