Mellin K B, Waubke T N
Klin Monbl Augenheilkd. 1979 Jan;174(1):1-4.
Surgery on the eye of patients on long term anticoagulation therapy is possible. To avoid bleeding suprarenin solution 1:1000, coagulation of conjunctival and scleral blood vessels, incision into the cornea when removing cataracts and iridectomy under the operating microscope are recommended. Local anaesthesia is advisable, has however the risk of a retrobulbar hematoma. Thromboplastin time (Quick) under 15% of the norm should be avoided, and only raised in cooperation with the responsible internist.
接受长期抗凝治疗的患者可以进行眼科手术。为避免出血，建议使用1:1000的肾上腺素溶液、对结膜和巩膜血管进行凝血、在手术显微镜下切除白内障时切开角膜以及进行虹膜切除术。建议采用局部麻醉，但有发生球后血肿的风险。应避免凝血酶原时间（Quick法）低于正常标准的15%，并且只有在与负责的内科医生合作的情况下才能提高该指标。
