Volume 29, Issue 4, 2020
DOI: 10.24205/03276716.2020.836
Complicated Phacoemulsification Cataract Surgery i n Patients Treated w ith Aspirin
Abstract
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.
Keywords
complicated phacoemulsification cataract surgery; aspirin; cataract surgery complications