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August 2001

In Favor of the Triple Procedure

Arch Ophthalmol. 2001;119(8):1224. doi:

In reply

We would like to respond to the comments and suggestions made by E. S. Malbran and colleagues. Although the complication of a suprachoroidal hemorrhage is indeed a serious one, we have fortunately found it to be extremely rare (<1/500) when the appropriate precautions are taken. We insist that 2 weeks preoperatively the patient stop taking any anticoagulant medications that could increase the risk of bleeding. These include warfarin sodium, aspirin, nonsteroidal anti-inflammatory drugs, and vitamin E tablets. Glaucoma or elevated intraocular pressure is controlled preoperatively with the use of topical and/or oral medications.

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