Volume 29, Issue 4, 2020

DOI: 10.24205/03276716.2020.836

Complicated Phacoemulsification Cataract Surgery i n Patients Treated w ith Aspirin

Purpose: To evaluate the incidence of intraoperative and postoperative complications associated with the continuation of aspirin use before complicated phacoemulsification cataract surgery (CPCS). Materials and Method: This prospective study included 85 consecutive patients who had CPCS with a clear corneal incision under topical anesthesia between October 2016 and April 2018. One hundred and eleven eyes from 85 patients using aspirin over long term were randomized into two groups: maintenance group (55 eyes) that included patients who continued using aspirin until the day of surgery; discontinuation group (56 eyes) that included those who stopped using aspirin 3 to 7 days before surgery. Besides, 56 eyes (44 patients) w ith no antiplatelet/anticoagulant therapy were used as a control group. Preoperative, intraoperative and postoperative complications were recorded. Results: No patients suffered from thromboembolic events during the follow up period. There was no significa nt difference in the incidence of hemorrhagic complications and nonhemorrhagic complications among the three groups (p=0.594 and p=0.714, respectivelyrespectively). The incidence of subconjunctival hemorrhage in the control group was higher than that in the maintenanc e group and discontinuation group, but there was no significant difference (p= 0.711 0.711). In the maintenance group and the control group group, postoperative hyphema (< 1.0mm and = 2.0mm, respectively) was observed in one case of each group (one eye) and was spontaneously relieved. In addition, no cases of choroidal/suprachoroidal hemorrhage, vitreous hemorrhage, retinal detachment, or endophthalmitis were observed. Conclusions: Our outcomes indicate that CPCS with a clear corneal incision under topical anesthesia could be safely performed without discontinuing systemic aspirin therapy.

complicated phacoemulsification cataract surgery; aspirin; cataract surgery complications

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