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Letter
Anticoagulant and antiplatelet therapy during ocular surgery
  1. Andrzej Grzybowski1,2,
  2. Mark Packer3
  1. 1Department of Ophthalmology, Poznan City Hospital, Poznań, Poland
  2. 2University of Warmia and Mazury, Olsztyn, Poland
  3. 3Department of Ophthalmology, Oregon Health & Science University, Portland, Oregon, USA
  1. Correspondence to Professor Andrzej Grzybowski, Department of Ophthalmology, Poznan City Hospital, ul. Szwajcarska 3, Poznań 61-285, Poland; ae.grzybowski{at}gmail.com

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We believe that some issues presented in the article by Kiire et al1 need to be corrected, and others deserve some further discussion.

Authors in the paragraph on cataract surgery pointed the increased risk of suprachoroidal haemorrhage in patients with high myopia, glaucoma, diabetes, atherosclerotic vascular disease or hypertension referencing to the interesting study,2 which was based only on intracapsular (ICCE) and extracapsular (ECCE) cataract extractions. Both techniques are much more traumatic and are supplemented usually with more invasive than topical form of anaesthesia, however, rarely used today. The dominant technique for cataract surgery is today phacoemulsification with implantation of foldable intraocular lenses (IOLs) through avascular clear corneal incisions under topical anaesthesia. This transformed the surgery into a lower risk procedure. Thus, …

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  • PostScript
    Rajarshi Mukherjee Christine A Kiire Neil Ruparelia David Keeling Bernard Prendergast Jonathan H Norris