- Home
- Medical news & Guidelines
- Anesthesiology
- Cardiology and CTVS
- Critical Care
- Dentistry
- Dermatology
- Diabetes and Endocrinology
- ENT
- Gastroenterology
- Medicine
- Nephrology
- Neurology
- Obstretics-Gynaecology
- Oncology
- Ophthalmology
- Orthopaedics
- Pediatrics-Neonatology
- Psychiatry
- Pulmonology
- Radiology
- Surgery
- Urology
- Laboratory Medicine
- Diet
- Nursing
- Paramedical
- Physiotherapy
- Health news
- Fact Check
- Bone Health Fact Check
- Brain Health Fact Check
- Cancer Related Fact Check
- Child Care Fact Check
- Dental and oral health fact check
- Diabetes and metabolic health fact check
- Diet and Nutrition Fact Check
- Eye and ENT Care Fact Check
- Fitness fact check
- Gut health fact check
- Heart health fact check
- Kidney health fact check
- Medical education fact check
- Men's health fact check
- Respiratory fact check
- Skin and hair care fact check
- Vaccine and Immunization fact check
- Women's health fact check
- AYUSH
- State News
- Andaman and Nicobar Islands
- Andhra Pradesh
- Arunachal Pradesh
- Assam
- Bihar
- Chandigarh
- Chattisgarh
- Dadra and Nagar Haveli
- Daman and Diu
- Delhi
- Goa
- Gujarat
- Haryana
- Himachal Pradesh
- Jammu & Kashmir
- Jharkhand
- Karnataka
- Kerala
- Ladakh
- Lakshadweep
- Madhya Pradesh
- Maharashtra
- Manipur
- Meghalaya
- Mizoram
- Nagaland
- Odisha
- Puducherry
- Punjab
- Rajasthan
- Sikkim
- Tamil Nadu
- Telangana
- Tripura
- Uttar Pradesh
- Uttrakhand
- West Bengal
- Medical Education
- Industry
Perioperative antithrombotic administration in glaucoma did not affect success surgical outcomes
A new study by Fumio Takano and team found that the success rate of the surgeries were unaffected by the perioperative administration of antithrombotic medications. The findings of this study were published in Graefe's Archive for Clinical and Experimental Ophthalmology.
At least in part because of accelerated atherosclerotic alterations, the number of aged individuals at risk for cardiovascular or cerebrovascular events, such as stroke or myocardial infarction, is rising quickly. Due to this, the number of patients receiving antithrombotic medications has significantly increased. One of the main causes of blindness in the globe is glaucoma. The only proven strategy to reduce or stop the course of glaucomatous optic neuropathy is lowering intraocular pressure (IOP). This study looked at whether and how much the perioperative use of antithrombotic medications in glaucoma surgery affected hemorrhagic complications and surgical success.
Three types of glaucoma procedures were distinguished: trabeculotomy (TLO), trabeculectomy (TLE), and long-tube shunt surgery (Tube). The following indicators of surgical success were reached one year after the procedure: intraocular pressure in the 5ā21 mmHg range, a 20% or greater drop in IOP from preoperative levels, and no further glaucoma procedures. Researchers evaluated the rates of success and hemorrhagic complications between those who had used antithrombotic medication before and people who had not. In addition, propensity score analysis was used in TLO and TLE operations to modify the preoperative characteristics between the two groups.
The key findings of this study were:
1. There were 910 glaucoma procedures altogether, of which TLO, TLE, and Tube surgeries accounted for 353, 444, and 113, respectively.
2. In all glaucoma procedures, 149 patients received preoperative antithrombotic medications: 37 patients used just anticoagulants, 102 patients used only antiplatelets, and 10 patients used both.
3. None of the techniques' success rates varied noticeably from one another.
4. The patients who received TLE and Tube had considerably more hemorrhagic problems (hyphema and vitreous hemorrhage rate).
5. After the two groups were matched by propensity score, there was no discernible difference in the surgical success rates of TLO and TLE.
Reference:
Takano, F., Mori, S., Okuda, M., Murai, Y., Ueda, K., Sakamoto, M., Kurimoto, T., Yamada-Nakanishi, Y., & Nakamura, M. (2022). Risk of surgical failure and hemorrhagic complications associated with antithrombotic medication in glaucoma surgery. In Graefe's Archive for Clinical and Experimental Ophthalmology (Vol. 260, Issue 11, pp. 3607ā3615). Springer Science and Business Media LLC. https://doi.org/10.1007/s00417-022-05719-1
Neuroscience Masters graduate
Jacinthlyn Sylvia, a Neuroscience Master's graduate from Chennai has worked extensively in deciphering the neurobiology of cognition and motor control in aging. She also has spread-out exposure to Neurosurgery from her Bachelorās. She is currently involved in active Neuro-Oncology research. She is an upcoming neuroscientist with a fiery passion for writing. Her news cover at Medical Dialogues feature recent discoveries and updates from the healthcare and biomedical research fields. She can be reached at editorial@medicaldialogues.in
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751