Strabismus surgery in patients receiving warfarin anticoagulation

Many ophthalmologists consider switching patients on chronic warfarin anticoagulation to enoxaparin or discontinuing their anticoagulant for strabismus surgery. We report 3 successful cases of strabismus surgery on patients taking warfarin. No excessive bleeding was encountered intraoperatively or during the recovery period. To our knowledge, this is the first report regarding the safety of strabismus surgery in patients who are maintained on warfarin during strabismus surgery.