To stop or to continue aspirin prior to manual small incision cataract surgery


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Article type :

Original Article

Author :

Pooja H V, H T Venkate Gowda, Madhuri P*

Volume :

7

Issue :

2

Abstract :

Aims: To ascertain whether to stop or continue aspirin before cataract surgery. Materials and Methods: Prospective observational study from July 2018 to June 2019. Information on pre-existing medical conditions like cardiac disease/stroke & use of Aspirin was obtained from patients posted for cataract surgery. Physical examination was done by physician & decided whether aspirin has to be stopped before surgery. Intra-operative and post-operative outcomes were recorded. Statistical analysis used: SPSS 20.0 by using descriptive statistics i.e. only frequency and percentage. Results: Out of 64 patients, 38 discontinued aspirin and 26 continued. In the group of patients who discontinued aspirin, 2 had bleeding complication in the form of bleeding from cut ends of conjunctiva. Where as in the group who continued aspirin 4 patients had bleeding complication. No thromboembolic events were recorded in both the groups. Conclusions: The risk of medical & ophthalmic events surrounding cataract surgery were so low that absolute differences in risk associated with changes in Aspirin use were minimal.

Keyword :

Aspirin, Cataract surgery, Haemorrhage, Thrombo-embolic events.
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