Peribulbar anesthesia in 750 patients treated with oral anticoagulants
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Conflicts of Interest: Calenda E, None; Genevois O, None; Cardon A, None; Muraine M, None.

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    Abstract:

    AIM: To check the safety of continuation of oral anticoagulants in ophthalmic procedures requiring a peribulbar anesthesia. METHOD: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.RESULTS: 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 (P=0.21).CONCLUSION:Oral anticoagulants were not associated with a significant increase in potentially sight-threatening local anesthetic complications.

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Emile Calenda, Olivier Genevois, Annie Cardon, et al. Peribulbar anesthesia in 750 patients treated with oral anticoagulants. Int J Ophthalmol, 2014,7(1):110-113

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Publication History
  • Received:July 15,2013
  • Revised:November 25,2013
  • Adopted:November 25,2013
  • Online: February 20,2014
  • Published: