Does Tranexamic Acid Improve Visualization During Arthroscopic Rotator Cuff Repair

Inclusion Criteria: * Age 18-100 * Male and Female * Patient able to read and understand consent form * Non-traumatic, simple small or medium sized rotator cuff tear as defined by pre-operative MRI * Booked to operating room for elective rotator cuff repair * Beach chair positioning Exclusion Criteria: * Patient refusal to participate * Massive rotator cuff tear * Acute traumatic rotator cuff tear * Known coagulopathy * Patients with a history or risk of thromboembolism * Known hypersensitivity to tranexamic acid * Patient unable to be off anti-coagulant medication for long enough to counter effects * Patient has a clinic systolic blood pressure \> 150mmHg * Lateral positioning * Requirement or insistence by patient or anesthesiologist on regional block * Patients who have smoked nicotine products within the last year * The presence of other inflammatory conditions (calcific tendonitis, rheumatoid arthritis, etc.) * The presence of active thromboembolic disease, such as deep vein thrombosis, pulmonary embolism, and cerebral thrombosis * Patient has a seizure disorder * Patients on medications identified as having drug-drug interactions (hormonal contraceptive, hydrochlorothiazide, desmopressin, sulbactam-ampicilllin, carbazochrome, ranitidine, or nitroglycerine * Patient is pregnant * Patients with history of subarachnoid hemorrhage * Patients with renal insufficiency * Patients with acquired disturbances of color vision