21 doctors weighed in:
Can I have cataract surgery if I am using blood thinners like Coumadin (warfarin) for another condition?
21 doctors weighed in

Dr. Edward Meier
Ophthalmology
6 doctors agree
In brief: 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.

In brief: 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.
Dr. Edward Meier
Dr. Edward Meier
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1 comment
Dr. Andrew Shatz
Modern cataract surgery is technically "bloodless" so patients do not have to stop blood thinners prior to surgery.
Dr. Ankush Bansal
Internal Medicine
5 doctors agree
In brief: Yes
Cataract surgery is a blood-less surgery.
There is no need to stop Aspirin or Coumadin (warfarin) before cataract surgery.

In brief: Yes
Cataract surgery is a blood-less surgery.
There is no need to stop Aspirin or Coumadin (warfarin) before cataract surgery.
Dr. Ankush Bansal
Dr. Ankush Bansal
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Dr. Theodore Wu
Ophthalmology
4 doctors agree
In brief: Cataracts
Coumadin (warfarin) can be continued if the surgeon is planning uncomplicated cataract surgery.
If the lens is very dense, the surgeon may need to do an extra-cap, which may increase the risk of bleeding with surgery.

In brief: Cataracts
Coumadin (warfarin) can be continued if the surgeon is planning uncomplicated cataract surgery.
If the lens is very dense, the surgeon may need to do an extra-cap, which may increase the risk of bleeding with surgery.
Dr. Theodore Wu
Dr. Theodore Wu
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1 comment
Dr. Edward Meier
In general now blood thinners are not stopped prior to cataract surgery. The cataract itself and the structures that have to be cut to get to the cataract do not have blood vessels so it is safe continue blood thinners.
Dr. Harvey Fishman
Ophthalmology
3 doctors agree
In brief: Yes
Cataract surgery is often performed with clear corneal incisions that do not cause bleeding.
No change in Coumadin (warfarin) dose is required. However in some circumstances , a nerve block is used and people on Coumadin (warfarin) are at higher risk for bleeding around the eye and it is suggested to hold the Coumadin (warfarin) dose for a few days prior

In brief: Yes
Cataract surgery is often performed with clear corneal incisions that do not cause bleeding.
No change in Coumadin (warfarin) dose is required. However in some circumstances , a nerve block is used and people on Coumadin (warfarin) are at higher risk for bleeding around the eye and it is suggested to hold the Coumadin (warfarin) dose for a few days prior
Dr. Harvey Fishman
Dr. Harvey Fishman
Thank
Dr. Andrew Shatz
Ophthalmology
3 doctors agree
In brief: Absolutely
Modern cataract surgery can be performed without injuring or cutting into blood vessels.
For this reason, you do not need to stop blood thinners in advance of surgery. The only potential issue is that you may develop a large bruise where the nurse places your I.V. Prior to surgery.

In brief: Absolutely
Modern cataract surgery can be performed without injuring or cutting into blood vessels.
For this reason, you do not need to stop blood thinners in advance of surgery. The only potential issue is that you may develop a large bruise where the nurse places your I.V. Prior to surgery.
Dr. Andrew Shatz
Dr. Andrew Shatz
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Dr. Jay Bradley
Ophthalmology - LASIK Surgery
1 doctor agrees
In brief: Yes
With clear cornea surgery, you do not have to stop blood thinners.

In brief: Yes
With clear cornea surgery, you do not have to stop blood thinners.
Dr. Jay Bradley
Dr. Jay Bradley
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Dr. Michael Ham
Ophthalmology
In brief: Yes
With routine cataract surgery Coumadin (warfarin) and blood thinners can be continues.
In specific cases where the surgery may be more complex or complications may be higher then the surgeon may have you discontinue blood thinners.

In brief: Yes
With routine cataract surgery Coumadin (warfarin) and blood thinners can be continues.
In specific cases where the surgery may be more complex or complications may be higher then the surgeon may have you discontinue blood thinners.
Dr. Michael Ham
Dr. Michael Ham
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