---
title: Is ICL surgery suitable if you are on blood thinners?
description: "ICL surgery can sometimes be performed while on blood thinners, but requires individual assessment and coordination with your medical team. ## Issues related to anticoagulation Bleeding risk must be balanced. - Small but real risk of bleeding from conjunctival or…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-icl-surgery-suitable-if-you-are-on-blood-thinners/"
updated: "2025-12-24"
category: Suitability
---

# Is ICL surgery suitable if you are on blood thinners?

ICL surgery can sometimes be performed while on blood thinners, but requires individual assessment and coordination with your medical team.

## Issues related to anticoagulation

Bleeding risk must be balanced.

- Small but real risk of bleeding from conjunctival or internal vessels
- Stopping blood thinners may increase stroke or clot risk for some patients
- Different drugs (warfarin, DOACs, antiplatelets) have different management strategies
- Need to check clotting status and overall cardiovascular risk
- Minor intraocular procedures still require careful surgical planning

## Typical approach

Decisions are personalised.

- Discussion with cardiologist or physician before altering medication
- In some cases, continuing antiplatelet therapy while operating carefully
- Timing surgery at a point of lowest risk if temporary adjustment is advised
- Considering non‑surgical options if anticoagulation cannot be safely modified
- Ensuring the patient understands both bleeding and clotting risks