Feltgen, N., Mele, B., Dietlein, T., Erb, C., Eckstein, A., Hager, A., Heiligenhaus, A., Helbig, H., Hoerauf, H., Hoffmann, E., Pauleikhoff, D., Schittkowski, M., Seitz, B., Sucker, C., Suffo, S., Schaudig, U., Tost, F., Thurau, S., Walter, P. and Koscielny, J. (2018). Management of anticoagulants in ophthalmic surgery-a survey among ophthalmic surgeons in Germany. Ophthalmologe, 115 (7). S. 585 - 592. NEW YORK: SPRINGER. ISSN 1433-0423

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Abstract

Introduction. As our population ages and comorbidities rise, ophthalmic surgeons are increasingly faced with patients on anticoagulant therapy or with clotting disorders. The ophthalmic surgeon has to weigh the perioperative risk of haemorrhage when anticoagulation continues against the risk of thromboembolism caused by discontinuation or changing the patient's medication (bridging, switching, cessation). There are currently no guidelines or recommendations. Methods. A survey was sent to the DOG (German Ophthalmologic Society) divisions and associated surgical organizations to determine the status quo. A questionnaire was sent out and filled out by the different groups of specialists. Results. All four divisions of the DOG and four associated organizations returned completed questionnaires. Surgical interventions were listed that are carried out during anticoagulant therapy without exceptions, as well as interventions that were classified to require medical adjustment. Although the assessments varied, general consensus was achieved regarding interventions not requiring adjustments due to anticoagulants (i.e., intravitreal injection, cataract surgery, laser and corneal operations, simple muscle surgery), and those interventions requiring adjustments in medications (glaucoma operations, complex retina surgery, eye socket surgery, complex surgery of the lid). Conclusion. Main result of this survey was the specification of serious bleeding complications which are permanent vision loss and re-operation. They could serve as endpoint parameters for essential future investigations. Nevertheless, this survey makes clear that the decision about an adjustment of anticoagulant medication in ophthalmic surgery is currently made individually and not based on established standards.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Feltgen, N.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mele, B.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dietlein, T.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Erb, C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Eckstein, A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hager, A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heiligenhaus, A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Helbig, H.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hoerauf, H.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hoffmann, E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pauleikhoff, D.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schittkowski, M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Seitz, B.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sucker, C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Suffo, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schaudig, U.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tost, F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Thurau, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Walter, P.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Koscielny, J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-181647
DOI: 10.1007/s00347-018-0732-y
Journal or Publication Title: Ophthalmologe
Volume: 115
Number: 7
Page Range: S. 585 - 592
Date: 2018
Publisher: SPRINGER
Place of Publication: NEW YORK
ISSN: 1433-0423
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
VITREORETINAL SURGERY; ANTIPLATELET THERAPY; CUTANEOUS SURGERY; GLAUCOMA SURGERY; COMPLICATIONS; MEDICATIONS; HEMORRHAGEMultiple languages
OphthalmologyMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/18164

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