PMID- 19531411 OWN - NLM STAT- MEDLINE DCOM- 20090706 LR - 20090617 IS - 1531-5053 (Electronic) IS - 0278-2391 (Linking) VI - 67 IP - 7 DP - 2009 Jul TI - Orbital hemorrhage and compressive optic neuropathy in patients with midfacial fractures receiving low-molecular weight heparin therapy. PG - 1416-9 LID - 10.1016/j.joms.2008.12.044 [doi] AB - While the implementation of deep vein thrombosis (DVT) prophylaxis in the hospital setting is a major concern, the use of antithrombotic agents is fraught with a variety of hemorrhagic complications. Due to increasing reports of adverse reactions to unfractionated heparin (UFH), several manufacturers have initiated product recalls. As a result, the use of low-molecular weight heparins (LMWHs) such as enoxaparin has risen substantially. In this paper, 2 orbital hemorrhagic complications in patients receiving enoxaparin therapy will be presented. The incidence of DVT in the OMS patient, recent prophylactic strategies, and their effectiveness will be reviewed. FAU - Jamal, Basem T AU - Jamal BT AD - Oral and Maxillofacial Surgery Department, Thomas Jefferson University Hospital, Philadelphia, PA, USA. basem_jamal@yahoo.com FAU - Diecidue, Robert J AU - Diecidue RJ FAU - Taub, Daniel AU - Taub D FAU - Champion, Allen AU - Champion A FAU - Bilyk, Jurij R AU - Bilyk JR LA - eng PT - Case Reports PT - Journal Article PL - United States TA - J Oral Maxillofac Surg JT - Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons JID - 8206428 RN - 0 (Anticoagulants) RN - 0 (Enoxaparin) SB - IM MH - Aged, 80 and over MH - Anticoagulants/*adverse effects MH - Enoxaparin/*adverse effects MH - Female MH - Humans MH - Intraocular Pressure MH - Maxillary Fractures/complications MH - Middle Aged MH - Optic Nerve Diseases/*etiology MH - Orbital Fractures/*complications MH - Retrobulbar Hemorrhage/*etiology/surgery MH - Zygomatic Fractures/complications EDAT- 2009/06/18 09:00 MHDA- 2009/07/07 09:00 CRDT- 2009/06/18 09:00 PHST- 2008/06/11 00:00 [received] PHST- 2008/11/09 00:00 [revised] PHST- 2008/12/19 00:00 [accepted] PHST- 2009/06/18 09:00 [entrez] PHST- 2009/06/18 09:00 [pubmed] PHST- 2009/07/07 09:00 [medline] AID - S0278-2391(09)00055-X [pii] AID - 10.1016/j.joms.2008.12.044 [doi] PST - ppublish SO - J Oral Maxillofac Surg. 2009 Jul;67(7):1416-9. doi: 10.1016/j.joms.2008.12.044.