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Anticoagulants and antiplatelet treatments are frequently prescribed treatments to prevent or treat thromboembolic complications and reduce morbidity and mortality related to cardiovascular risk factors. In retina/vitreous surgery, there are rare but potentially serious risks of hemmorrhagic complication resulting in irreversible loss of visual acuity. There is no clear consensus on how to proceed during the perioperative period with regard to the continuation or discontinuation of anticoagulant and antiplatelet treatments in these types of surgery. the purpose of the study is to identify complications at 1 month depending on the type of surgery with or without discontinuation of antithrombotic treatments. Practitioners are not asked to change their modus operandi. The hypothesis is that there is no excess risk of peri- or post-operative hemorrhage in retino-vitreous surgery in patients treated with antithrombotic compared to untreated patients and that therefore discontinuation of these treatments before surgery is not necessary.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Continuation of antithrombotic drugs | operation carried out without stopping anticoagulants |
| |
| Stop anti thrombotic drugs | operation performed with stopping the anticoagulants |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| complication | Other | collection of post-operative bleeding complications |
|
| Measure | Description | Time Frame |
|---|---|---|
| Occurrence of intra-operative and postoperative hemorrhagic complications in retina/vitreous surgery | Through study completion, an average of 8 months |
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Inclusion Criteria:
Exclusion Criteria:
person subject to legal protection (curatorship, guardianship)
person deemed mentally incompetent
pregnant, parturient or breastfeeding woman
adult unwilling or unable to consent
patient who has already participated in the study
person with a physical or mental disability that does not allow participation.
a person who has participated in any study of an experimental medical product within the previous 3 months
person who experiences any of the following during the ophthalmological examination:
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Patients undergoing surgery
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU dijon Bourgogne | Dijon | 21000 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32279459 | Result | Louison S, Gabrielle PH, Soudry A, Meillon C, Blanc J, Beal G, Arsene S, Le Mer Y, Berrod JP, Kodjikian L, Creuzot-Garcher C; CFCR Research net. Perioperative risk of bleeding with antithrombotic agents in macular surgery: a national, prospective, multicentre study. Acta Ophthalmol. 2020 Dec;98(8):e991-e997. doi: 10.1111/aos.14434. Epub 2020 Apr 12. |
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