Balbino Marcos, Boin Plinio, Prata Tiago Santos
Arq Bras Oftalmol. 2013 Nov-Dec;76(6):363-5. doi: 10.1590/s0004-27492013000600009.
To investigate and describe, among the members of the Brazilian Glaucoma Society (BGS), the practices regarding the perioperative management of anticoagulants (warfarin and aspirin) use in patients scheduled for glaucoma surgery.
The active members of the Brazilian Glaucoma Society answered a questionnaire evaluating different aspects of their current perioperative management of glaucomatous patients taking warfarin or aspirin.
A total of 52 participants returned a complete questionnaire. Warfarin or aspirin was routinely interrupted prior to glaucoma surgery by 82.7% of the respondents. The majority of the surgeons who discontinued these medications reported doing so 7 days prior to surgery and resumed their use the day after the procedure. Almost half of our interviewees reported hemorrhagic complications that could be related to anticoagulant therapy. A large number of the surgeons (86.5%) preferred a particular surgical technique for anticoagulated patients; however, most of them (88.5%) do not change the anesthetic planning in such patients. Finally, the majority of the participants (90.4%) refer their anticoagulated patients to a preoperative appointment with a cardiologist or a general practitioner before the surgery.
The majority of Brazilian Glaucoma Society members participating in this study interrupt either warfarin or aspirin prior to glaucoma surgery. Although there is scant information available in the literature to offer definitive guidance, most participants from the Brazilian Glaucoma Society seem to share the same opinion when it comes to perioperative management of anticoagulant users.
在巴西青光眼协会（BGS）成员中，调查并描述青光眼手术患者围手术期抗凝剂（华法林和阿司匹林）使用的管理实践。
巴西青光眼协会的活跃成员回答了一份问卷，该问卷评估了他们目前对服用华法林或阿司匹林的青光眼患者围手术期管理的不同方面。
共有52名参与者返回了完整问卷。82.7%的受访者在青光眼手术前常规停用华法林或阿司匹林。大多数停用这些药物的外科医生报告在手术前7天停药，并在手术后第二天恢复使用。几乎一半的受访者报告了可能与抗凝治疗相关的出血并发症。大量外科医生（86.5%）为接受抗凝治疗的患者选择了特定的手术技术；然而，他们中的大多数人（88.5%）在这类患者中不改变麻醉方案。最后，大多数参与者（90.4%）在手术前将接受抗凝治疗的患者转诊至心脏病专家或全科医生处进行术前会诊。
参与本研究的大多数巴西青光眼协会成员在青光眼手术前停用华法林或阿司匹林。尽管文献中几乎没有信息提供明确指导，但在抗凝剂使用者的围手术期管理方面，大多数巴西青光眼协会参与者似乎持有相同观点。
