Doctor insights on:
Can I Have Cataract Surgery If I Am Using Blood Thinners Like Coumadin For Another Condition
Can I have cataract surgery if I am using blood thinners like Coumadin (warfarin) for another condition?
Yes: Most cataract surgery is performed through the cornea which does not have blood vessels. This means that there is no bleeding. The cataract itself also does not have blood vessels. It has been studied and found that stopping blood thinners before cataract surgery is much more dangerous than having the surgery on them. ...Read more
Agents which slow ;/or break down blood clot formation in up to 3 different ways (they do not decrease blood viscosity; thickness.) (1) some inhibit platelet function (e.g. Aspirin, clopidogrel, etc.). (2) others interfere with some of the clot forming proteins (warfarin, dabigatran, rivaroxaban, etc.), (3) others stimulate the blood clot destruction ...Read more
Re stopping pradaxa: how many days in advance my scheduled x-stop spacer implant back surgery should I stop taking this blood thinner? I take a 150mg capsule twice a day. I started this prescription on 11/17/2012 and prior to that I took 7.5mg Coumadin
A week: For aspirin, Plavix (clopidogrel) or non-steroidal anti- inflammatory use recommendation is 7 days preop. When on warfarin, when INR normalizes. For this drug, INR is not affected so one should use same guidelines as Plavix (clopidogrel) which is 7 days according to manufacturer. ...Read more
It's been a year since my cataract surgery and I've got a blood shot eye. Is it anything to worry about?
How does elevated blood sugar affect the eyes and is it safe to have cataract surgery if bs is spiking to 470?
Affects circulation: High blood glucose affects your circulation & the small capillaries become abnormally modified with increased permeability. Also the increased BGL affects oxygen delivery to the retina. This blood leakage and decreased oxygen affects vision, especilally in states of chronic hyperglycemia. Your BGL is too high for ambulatory surgery center surgery. It's best to stabilize BGL (way below 300) before. ...Read more
Is it a requirement that blood pressure reading be taken prior to cataract surgery? Take meds but have white coat issue. Advice?
Preoperative bp: It is important to measure your blood pressure preoperatively and if it's very high, the surgeon may not perform the cataract surgery. To avoid this happening ask your primary care physician to outline a regimen of antihypertensive medication, including medication taken with a small amount of water on the morning of surgery. If your anxiety is a major problem, a tranquilizer can be prescribed to ...Read more
I had posterior uveitis then cataract surgery last year. Recently I was diagnosed with Grave's Disease. Is all of this somehow related?
It can be but low: Uveitis can be associated with Thyroid disease but it is ususlly a very low percent around 2%. It is been found mainly in poorly controlled hyper thyroidism. You could be check to see if you have any other autoimmune phenomena that might explain your case. Your physician should be able to help you with this. ...Read more
33 yrs old. Is it normal to experience Iritis twice after 2 months post cataract surgery. Any precaution required to work condition travelling?
Red eye post surgery: Iritis/uveitis after cataract surgery is not uncommon. If no surgical complication and implant in proper place ('in bag') it is due to rebound inflammation as steroids decreased. See eyemd to be sure haptics & IOL in proper place. Have steroids on hand during travel. Though rare: If persists after surgery, may need a blood work up for uveitis. ...Read more
Any risks to wearing jewelry with magnetic closures when taking Coumadin (warfarin) or a blood thinner?
Coumadin (warfarin): No direct risk from magnetic closure on jewelry ...Read more
I take Coumadin (warfarin) and my gums are bleeding a little could this be caused by the blood thinner and what should I do?
Does Coumadin (warfarin) make you extremely fatigued? Is there a medication that is a blood thinner but you don't need an INR check?
Rivaroxaban.: Coumadin (warfarin) does not make you extremely fatigued unless you're anemic from occult bleeding because of a supratherapeutic (i.e., really high) inr. Make sure you stay on top of your inr and, if you're feeling really fatigued, to have your hemoglobin/hematocrit (which is your blood count) checked. Rivaroxaban is a blood thinner that doesn't require monitoring. Discuss with your pcp. ...Read more
Is it okay to take green coffee bean extract if I am on a blood thinner (coumadin)? And can't drink green tea?
I have fibromyalgia, chronic migraines & mechanical bicuspid valve replacement and am on coumadin (warfarin). Will pot affect my valve or make blood thinner?
marijuana may increase warfarin anticoagulant effect by inhibiting its metabolism, and to a lesser extent, displacing warfarin from protein-binding sites. Other causes (eg, nonadherence) of the patient's increased inr were ruled out. Using the horn drug interaction probability scale, our patient's warfarin/marijuana interaction appeared to be probable. Ann pharmacother. 2009 jul;43 (7). ...Read more
After Cataract surgery on Nov. 29th my eye still tears is this normal? I have Type 2 Diabetes and Graves Disease and am 68 years old.
Tearing is normal: Cataract surgery can make dry eye worse, as can Grave's disease. The drier colder air of winter can also worsen dry eye. It would not be unusual for your eye to still tear. Use lubricating eye drops at least four times a day. However, there is still a small chance that you have some mild post-op inflammation ...Read more
What happens after a cataract surgery? If I have my cataract removed, will I be able to see afterwards? Is there any scarring?
None: Cataract surgery does not prevent you from flying even right after surgery. There are certain retinal surgery where gas is inserted in your eyes that you should not be flying, due to gas expansion with altitude. ...Read more
Angle closure gla: Cataract surgery would reduce the narrowing of the angles and virtually eliminate the chances of new acute angle closure (the angle closing and causing a severe pressure rise with severe damage). Unfortunately, whatever damage was previously done with chronic angle closure is permanent and you may need to continue treatments for pressure control. Seek the advice of your ophthalmologist. ...Read more
Cataract surgery: Can help increase the available space in your eye where fluid drains out. This can potentially lower your eye pressure. Sometimes, stents or a special laser is used in conjunction with cataract surgery to lower the eye pressure even further. If your vision is also impaired from cataracts, then the surgery will help with that too. Good luck. ...Read more
I plan on a monocular IOL lens implant set for near viewing when I have cataract surgery on left eye only. Can this specific IOL be flexible or not?
What is an IOL?: You need an understanding about an IOL. All of them are rigid after implantation in the optic (focusing)part. The supporting struts (Haptics) open in the eye to fixate it in place against the natural lens capsule or the walls of the eye. Once in place, flexion does not happen and in fact would be undesirable as it would shift the focus. Some consider setting the lens for near is the best. ...Read more
Toric IOL: Toric implants correct for astigmatism & distance vision though usually do not correct for reading unless is a Trulign (Crystalens Toric) or Restor Toric (still not available in US). Vision usually much clearer if all astigmatism corrected; rotation of toric can increase the risk of visual distortion more than monofocals. ...Read more
How do we choose the right intraocular cataract lenses for my mother's cataract surgery? My mother is in her 70's and will need cataract surgery in the near future. There are so many types of intraocular cataract lenses. How do we know which one is the be
Speak to the doctor: The good news is the bad news in cataract surgery: there are so lens many choices, it can be mind-boggling! The key to making the right decision is to sit with the surgeon and spend as much time as is needed to be sure that you understand each choice, and to be sure that the doctor understands your mother's vision and lifestyle needs. After that, the decision should become a lot easier. ...Read more
Do you have to be awake during cataract surgery? From everything that I have read, it seems like I will be awake for my cataract surgery. I am a bit nervous about the thought of someone working on my eyes while I am awake. Is there a reason that I can't b
Healing after CS: Healing after cataract surgery is usually very quick: depending on pre-operative risk factors (diabetes, h/o trauma, flomax (tamsulosin) use, general health), intra-operative issues (any vitreous loss), and post-operative issues: any wound leaking, infection, etc. Complications are rare: vision improves usually ...Read more
Loss of near vision: Cataract surgery (CS) has benefits & risks (rare but possible: loss of best vision, infection, loss of eye, etc). When CS benefits (improved vision from advanced cataract excision) outweigh risks, surgery is indicated. New generation premium lenses allow for better near, intermediate, reading VA. If monofocal lens placed, you will need reading glasses or Lens exchange. See eyeyedoc2020.blogspot. Com ...Read more
Promising: Exciting new technology......Shows promise but long term results are not yet known. ...Read more
Occurs whent here is a clouding (or change in protein composition) of the normally clear lens (which is located behind the pupil and iris) inside the eye. Cataracts are most commonly due to aging, but can be congenital (born with it), due to trauma or uveitis (eye inflammation). Can be worsened by long-term topical steroid ...Read more
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