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Abstract #12107 Published in IGR 7-1
Thrombocytopenia and the risks of intraocular surgery
Papamatheakis DG; Demers P; Vachon A; Jaimes LB; Lapointe Y; Harasymowycz PJOphthalmic Surgery Lasers and Imaging 2005; 36: 103-107
BACKGROUND AND OBJECTIVE: In thrombocytopenia, a hemorrhagic diathesis is usually present due to a low platelet count and has been related to the development of cataracts and retinopathy. The concomitant administration of nonsteroidal anti-inflammatory drugs can increase the hemorrhagic diathesis. The purpose of this study was to investigate the impact of thrombocytopenia during and after intraocular surgery. PATIENTS AND METHODS: A retrospective study of medical files of patients who had undergone cataract and glaucoma filtering surgery and were diagnosed as having thrombocytopenia between 1994-1995 and 1998-1999 was conducted. Eight patients with a total of 11 surgical procedures were included in this study. RESULTS: Hemorrhagic complications occurred in 2 of the 11 procedures, for an incidence of 18%. These 2 cases are described in detail. CONCLUSIONS: The current study confirms that thrombocytopenia is a significant risk factor for perioperative bleeding in ocular surgery. A routine questionnaire should be completed before ocular surgery and a complete blood cell count obtained in suspect cases. Consultation with a hematologist is warranted in cases of thrombocytopenia.
Dr. D.G. Papamatheakis, Hopital Maisonneuve-Rosemont, Centre de Recherche Guy-Bernier, Universite de Montreal, Department of Ophthalmology, Montreal, Quebec, Canada
Classification:
12.1 General management, indication (Part of: 12 Surgical treatment)
