A member asked:

Father, 69, requires cataract surgery in both eyes. he's on dabigatran, clopidogrel for heart attack, atrial fibrillation, vascular stroke for 3 years. had minor strokes in 2008 and 2009. need advice on cataract surgery while on dabigatran, any risks?

2 doctors weighed in across 2 answers

Talk to the Dr.: The ophthalmologist performing the procedure will give you instructions during your pre-op visit. He or she should tell you when to stop taking these medicines. They are normally discontinued several days before the planned procedure, but I would suggest that you discuss it with the surgeron. Also, talk to your Dad's cardiologist. They will be able to tell you the cardiac risks/beneftis

Answered 11/15/2016

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Dr. Rebecca Gliksman answered

Specializes in Internal Medicine

Dabigatran /cataract: Yes. dabigatran can cause more bleeding during surgery, which could affect the surgery .Many times they have patients in the hospital on heparin 1 day before the surgery and then stop the heparin 3-4 hours before surgery and restart meds after surgery This is an issue that has to be discussed with the cardiologist and surgeon especially since your father has had strokes f/u w/ cardiology

Answered 11/16/2016

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