Document Detail


Anterior chamber bleeding after laser peripheral iridotomy.
MedLine Citation:
PMID:  23538479     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
IMPORTANCE: To our knowledge, this is the first study to describe the correlation of anterior chamber bleeding after laser peripheral iridotomy (LPI) and antiplatelet therapy.
OBJECTIVE: To determine the incidence and amount of anterior chamber bleeding after laser peripheral iridotomy in patients whose condition is suggestive of primary angle-closure glaucoma (PACS) who continued their antiplatelet or anticoagulant treatment before undergoing LPI compared with when they discontinued treatment.
DESIGN AND SETTING: A prospective controlled trial.
PATIENTS: Patients with suspected bilateral primary angle-closure and no other ocular disease who take antiplatelet or anticoagulant medications regularly (from January 2010-October 2011) were enrolled.
MAIN OUTCOME AND MEASURE: The incidence of anterior chamber bleeding with and without antiplatelet and anticoagulant therapy.
RESULTS: A total of 104 patients (208 eyes) participated in the study. Thirty-six eyes (34.6%) in the treated and untreated arms bled. The amount of bleeding did not differ significantly when the patient was on or off antiplatelet or anticoagulant treatment, nor did the immediate postprocedure mean intraocular pressure (P = .13). The type of antiplatelet or anticoagulant, total laser energy, age, sex, or color of irides were not risk factors for increased bleeding (P = .156 for all parameters).
CONCLUSIONS: No indication was noted for discontinuing these medications before a high-powered pulsed laser peripheral iridotomy.
Authors:
Shani Golan; Hani Levkovitch-Verbin; Gabi Shemesh; Shimon Kurtz
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Publication Detail:
Type:  Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  JAMA ophthalmology     Volume:  131     ISSN:  2168-6173     ISO Abbreviation:  JAMA Ophthalmol     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-06-07     Completed Date:  2013-07-26     Revised Date:  2013-11-06    
Medline Journal Info:
Nlm Unique ID:  101589539     Medline TA:  JAMA Ophthalmol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  626-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Ophthalmology, Tel Aviv Medical Center, Tel Aviv, Israel. shanigol2@walla.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Anterior Chamber / pathology
Anticoagulants / therapeutic use*
Aspirin / therapeutic use
Eye Color
Female
Glaucoma, Angle-Closure / prevention & control*
Gonioscopy
Humans
Hyphema / etiology*
Incidence
Intraocular Pressure
Iridectomy*
Iris / surgery
Laser Therapy*
Lasers, Solid-State / therapeutic use
Male
Middle Aged
Platelet Aggregation Inhibitors / therapeutic use*
Postoperative Complications*
Prospective Studies
Risk Factors
Ticlopidine / analogs & derivatives,  therapeutic use
Tonometry, Ocular
Warfarin / therapeutic use
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Platelet Aggregation Inhibitors; 50-78-2/Aspirin; 55142-85-3/Ticlopidine; 81-81-2/Warfarin; A74586SNO7/clopidogrel

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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