Bilateral cataract surgery in adult and pediatric patients in a single session

Simultaneous bilateral intraocular surgery in children

“…The reluctance of ophthalmologists to perform SBIS has been mainly attributable to concerns about bilateral catastrophic complications, such as endophthalmitis, expulsive hemorrhage, or retinal detachment. [3][4][5][6][7][8][9][10][11][12][13][14][15][16] SBIS has been performed in tens of thousands of adult patients, 2,17 with rare reports of bilateral complications. 4,[18][19][20][21][22][23][24][25] There are few reports of SBIS in children in the literature, with a total of 163 cases of bilateral cataract surgeries in children up to 19 years of age and a similar number of cases of bilateral congenital glaucoma surgery (either goniotomy or primary combined trabeculotomy/trabeculectomy).…”

Bilateral cataract surgery: A controlled clinical trial

“…Several recent studies of the safety and effi cacy of simultaneous bilateral cataract surgery reported no serious postoperative complication related to visual acuity or outcomes after relatively satisfactory simultaneous bilateral cataract surgery. [5][6][7][8][9][10][11][12] There have so far been quite a few analyses of outcomes of simultaneous bilateral cataract surgery and indirect comparative studies between simultaneous bilateral cataract surgery and separate bilateral cataract surgery. Yet, in patients with bilateral cataract, there has been no direct comparative study between simultaneous bilateral cataract surgery and separate bilateral cataract surgery with an interval between operations.…”

Immediate vs delayed sequential cataract surgery: a comparative study

“…Refractive surprises, as a non-catastrophic complication of ISCS, were not a problem in our survey, which is compatible with previous studies. This may be due to the currently used modern biometry instrumentation and software, 10,11,31 as well as the exclusion of susceptible patients 11 (eg, eyes with extreme axial length or those with previous refractive surgery). In both groups, the stringent selection criteria and the strict preoperative, intraoperative, and post-operative protocols for endophthalmitis prophylaxis might have contributed to the successful surgical results without the occurrence of any serious complications.…”

“…[1][2][3][4][5][6][7] However, it is still unknown whether it is better for these patients to have ISCS or delayed sequential cataract surgery (DSCS). Despite the obvious benefits of ISCS to patients and society, [8][9][10][11] the major reluctance of ophthalmologists to perform ISCS revolves to some extent around its non-catastrophic complications, such as refractive surprises, and most importantly, its catastrophic complications, such as endophthalmitis, 11 especially due to contaminated instrument-derived incidents; 12 however, the literature indicates that the safety of ISCS has been increasing, 1,[13][14][15][16][17] particularly with recent advancements of microsurgical techniques 18,19 and the use of strict protocols for post-operative endophthalmitis prophylaxis. 20 Furthermore, if an intraoperative complication occurs during the first-eye surgery, surgery for the second eye can be aborted.…”