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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Pre Operative Assessment For Cataract Surgery For A Heart Patient?

A 59 year old male presents for cataract assessment. Of note in his past history he has undergone aortic valve replacement and is maintained on Warfarin 6/7mgs alt days.

Discuss how you would manage this patients pre-operative assessment for cataract surgery under local anaesthesia with specific reference to his anti-coagulants.
Mon, 6 Oct 2014
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Ophthalmologist 's  Response
Hello
Welcome to Health care magic

I reviewed your history. In this case cataract surgery has to be done after stopping the anti-coagulants for 3-5 days before surgery and they can started after cataract surgery. During anesthesia adrenaline has to be avoided.
Cataract surgery can be safely done with these precautions.

Thank you
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Ophthalmologist Dr. Dadapeer K's  Response
Hello
Welcome to health care magic.

Cataract surgery can be done under topical or peribulbar anesthesia. He needs to get evaluated for cardiac status.
Regarding anticoagulants they need to be stopped 3-5 days before surgery and they can be started again after surgery.

Thank you
I find this answer helpful
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What Is The Pre Operative Assessment For Cataract Surgery For A Heart Patient?

Hello Welcome to Health care magic I reviewed your history. In this case cataract surgery has to be done after stopping the anti-coagulants for 3-5 days before surgery and they can started after cataract surgery. During anesthesia adrenaline has to be avoided. Cataract surgery can be safely done with these precautions. Thank you