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Anticoagulant and antiplatelet therapy during ocular surgery
  1. Andrzej Grzybowski1,2,
  2. Mark Packer3
  1. 1 Department of Ophthalmology, Poznan City Hospital, Poznań, Poland
  2. 2 University of Warmia and Mazury, Olsztyn, Poland
  3. 3 Department 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

https://doi.org/10.1136/bjophthalmol-2014-305411

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    We believe that some issues presented in the article by Kiire et al 1 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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    Footnotes

    • Contributors All authors substantially contributed to the conception or design of the work, and the acquisition, analysis or interpretation of data; drafting the work and revising it critically for important intellectual content; and finally approved the version submitted.

    • Competing interests None.

    • Provenance and peer review Not commissioned; internally peer reviewed.

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    • PostScript
      Authors’ response
      Rajarshi Mukherjee Christine A Kiire Neil Ruparelia David Keeling Bernard Prendergast Jonathan H Norris
      British Journal of Ophthalmology 2014; 98 1136-1137 Published Online First: 29 May 2014. doi: 10.1136/bjophthalmol-2014-305527