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 Table of Contents  
OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 3  |  Page : 859

A catastrophic trabeculectomy: Warfarin-induced nightmare


1 Consultant Glaucoma Services, DNB Third Year Aravind Eye Hospital, Tirunelveli, Tamil Nadu, India
2 Ocular Oncology and Oculoplasty Services, DNB Third Year Aravind Eye Hospital, Tirunelveli, Tamil Nadu, India
3 Consultant Pediatric Ophthalmology and Strabismus Services, DNB Third Year Aravind Eye Hospital, Tirunelveli, Tamil Nadu, India
4 DNB Third Year Aravind Eye Hospital, Tirunelveli, Tamil Nadu, India

Date of Web Publication16-Jul-2022

Correspondence Address:
Dr. Devendra Maheshwari
Consultant Glaucoma Services, Swami Nellaiappar High Rd, Vannarpettai, Aravind Eye Hospital, Tirunelveli, Tamil Nadu - 627 001
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2573_21

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How to cite this article:
Maheshwari D, Tara TD, Maneksha V, Pawar N, Drishti C. A catastrophic trabeculectomy: Warfarin-induced nightmare. Indian J Ophthalmol Case Rep 2022;2:859

How to cite this URL:
Maheshwari D, Tara TD, Maneksha V, Pawar N, Drishti C. A catastrophic trabeculectomy: Warfarin-induced nightmare. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Aug 13];2:859. Available from: https://www.ijoreports.in/text.asp?2022/2/3/859/351141



A 67-year-old male was diagnosed with primary open-angle glaucoma (POAG) with immature cataract in both eyes (BE). Right eye trabeculectomy with posterior chamber intraocular lens (PCIOL) implantation was done and discharged with routine postoperative medications. Patient came back with complaints of bleeding and pain in the operated eye on 5th post-op day. On examination, blood clot protruding and hanging out of conjunctiva was seen [Figure 1]. Immediately medical history was revisited and it was found that patient was on warfarin tablets for his cardiac condition which the patient missed to reveal previously.[1] Warfarin was stopped immediately after physician opinion and wound exploration with blood clot removal and conjunctival resuturing was done.
Figure 1: Figure showing protruding and overhanging blood clot

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Cobb CJ, Chakrabarti S, Chadha V, Sanders R. The effect of aspirin and warfarin therapy in trabeculectomy. Eye (Lond) 2007;21:598-601.  Back to cited text no. 1
    


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