01/03/2026
👁️ This patient underwent cardiac bypass surgery three years ago and has been on warfarin for an irregular heartbeat since then.
Over time, her vision deteriorated severely due to a dense cataract. However, she was understandably anxious about cataract surgery. Her concerns were twofold:
• that continuing warfarin might cause serious bleeding during eye surgery
• and that stopping the medication could increase the risk of stroke or heart attack
What ultimately reassured her was seeing a close friend—also on long-term warfarin—successfully undergo cataract surgery at our centre without stopping the blood thinner.
She decided to proceed.
The surgery took 12 minutes, was uncomplicated, and his vision improved immediately after the operation.
Lesson:
Fear of blood thinners should not prevent patients from undergoing sight-restoring cataract surgery. With modern techniques and proper medical assessment, cataract surgery can be performed safely—often without stopping anticoagulant therapy.
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👁️ 这位病人三年前做过心脏搭桥手术，之后因为心律不整，一直长期服用华法林（warfarin）。
随着时间推移，她因为白内障非常严重，视力明显下降。但她对白内障手术一直很担心，主要有两个顾虑：
• 继续吃华法林，怕手术时会造成严重出血
• 停药的话，又担心中风或心脏病发作的风险增加
真正让她放下心的，是看到一位好朋友——同样长期服用华法林——在我们中心没有停药就顺利完成白内障手术，而且恢复得很好。
于是，她决定接受手术。
手术过程只用了12分钟，非常顺利，没有并发症，手术后立刻就看得清楚了。
重点提醒：
不必因为正在服用抗凝血药（血液稀释剂），就错过可以恢复视力的白内障手术。只要经过适当评估，加上现代白内障手术技术，很多情况下无需停药，也能安全完成手术。
眼睛的光明很珍贵，别让不必要的恐惧挡住了重见光明的机会。 👁️
#蔡鐘能眼科医生 #马来西亚眼科医生 #国际眼科中心 #古晋眼科中心 #诗巫眼科中心
#清血药与白内障手术
