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I prescribe warfarin for more than 20 years in the anticoagulant clinic where I work and every day I see new patients starting anticoagulant therapy: I have never seen skin necrosis. Skin necrosis can be seen only in the early days of anticoagulant therapy because of the short life of protein C.

I apologize for my bad English. It is not necessary to stop the warfarin for cataract surgery only when using topical anesthesia (=eye drops).