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Is Cataract Surgery Safe After Mini Strokes?

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Posted on Mon, 15 Sep 2014
Question: Hi, My mother aged 68, with a history of diabetes and BP was admitted to a local hospital as she was experiencing continuous vomiting, shivering and when we checked BP at home using a digital wrist meter it was on the higher side (200/110).
Doctor suspected a XXXXXXX stroke and has advised Preva, Ecosprin (one per day) and Strocit (twice a day).
My mother actually wanted to have cataract surgery before this incident happened and now since she is normal, can we continue with the surgery?
Attached are CT scan reports and Carotid Test report. Is it safe to continue with the cataract surgery as one of my friend advised she may experience risk of stroke/paralysis if go ahead with the cataract surgery after XXXXXXX stroke. (Whether it was really a XXXXXXX stroke? Can we go ahead with cataract surgery given the CTScan and Carotid reports)
Please advise.
doctor
Answered by Dr. Sudhir Kumar (5 hours later)
Brief Answer:
She can undergo cataract surgery.

Detailed Answer:
Hi Mr XXXXXXX

I have noted your mother's diagnosis, current medications and the plan for cataract surgery.

She can safely undergo cataract surgery and there is no risk involved.

Yes, as per the CT scan report, she has suffered mini-strokes, which are related to high blood pressure.

Prior to cataract surgery, both Preva and Ecosprin should be stopped for 4 days, as they are blood thinners and may increase the risk of bleeding during surgery. While we stop the blood thinners, there is a slight risk of getting stroke, however the risk is not high.

BP should be brought under good control prior to surgery.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6232 Questions

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Is Cataract Surgery Safe After Mini Strokes?

Brief Answer: She can undergo cataract surgery. Detailed Answer: Hi Mr XXXXXXX I have noted your mother's diagnosis, current medications and the plan for cataract surgery. She can safely undergo cataract surgery and there is no risk involved. Yes, as per the CT scan report, she has suffered mini-strokes, which are related to high blood pressure. Prior to cataract surgery, both Preva and Ecosprin should be stopped for 4 days, as they are blood thinners and may increase the risk of bleeding during surgery. While we stop the blood thinners, there is a slight risk of getting stroke, however the risk is not high. BP should be brought under good control prior to surgery. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, XXXXXXX XXXXXXX Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in