Preoperative management of ophthalmic patients taking oral anticoagulants

Surgical treatment is often accompanied by such complication as bleeding, and ophthalmic surgery not an exception. The bleeding risk depends on many factors, the most significant are age, arterial hypertension, hepatic renal impairment, prior stroke or with oral anticoagulants. aim. To evaluate structure of patients taking novel anticoagulants (NOACs) assessment activated partial thromboplastin time before ophthalmosurgical treatment. Materials methods . 54 were included in study. A retrospective analysis medical histories who had for ocular pathology was carried out. divided into two groups: group 1 – 28 whose (APTT) did exceed 45 seconds; 2 26 APTT more than seconds. criterion numerical expression safety performing regional anesthesia against background anticoagulant drugs. Statistical processing performed using Mann Whitney test (p < 0.05). Results. comparative results showed that higher rates APTT. At same time, they less likely to have acute cerebrovascular accident (11.5 % compared 21 2) myocardial infarction (19 %, respectively). Among all patients, women slightly older prevailed. Conclusion. Patients atrial fibrillation make up majority undergoing NOACs. method phacoemulsification intraocular lens implantation. Studying allowed us identify a category high APTT, prescribe withdrawal drug order create optimal conditions surgical