‘Bilateral same-day cataract surgery should routinely be offered to patients’ – No

Tatham, Andrew J.; Brookes, John

doi:10.1038/eye.2012.92

Cited by 15 publications

(11 citation statements)

References 17 publications

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“…Those in favor of the procedure argue that the postoperative visual rehabilitation period is faster and that fewer visits to the clinic or hospital are needed, which saves money and time for both health professionals and patients [ 4 – 6 ]. Those, who object to the procedure, argue that the risk of bilateral sight-threatening complications and the risk of postoperative refractive surprises outweigh any potential benefits that the procedure may have [ 7 , 8 ]. If the two surgeries are performed independently with strict hygienic precautions (e.g., rescrubbing of lids, redraping, regowning, and separate batches of surgical devices), the risk of bilateral endophthalmitis is small [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Immediate Sequential Bilateral Cataract Surgery: A Systematic Review and Meta-Analysis

Kessel

Andresen²,

Erngaard

et al. 2015

Journal of Ophthalmology

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The aim of the present systematic review was to examine the benefits and harms associated with immediate sequential bilateral cataract surgery (ISBCS) with specific emphasis on the rate of complications, postoperative anisometropia, and subjective visual function in order to formulate evidence-based national Danish guidelines for cataract surgery. A systematic literature review in PubMed, Embase, and Cochrane central databases identified three randomized controlled trials that compared outcome in patients randomized to ISBCS or bilateral cataract surgery on two different dates. Meta-analyses were performed using the Cochrane Review Manager software. The quality of the evidence was assessed using the GRADE method (Grading of Recommendation, Assessment, Development, and Evaluation). We did not find any difference in the risk of complications or visual outcome in patients randomized to ISBCS or surgery on two different dates. The quality of evidence was rated as low to very low. None of the studies reported the prevalence of postoperative anisometropia. In conclusion, we cannot provide evidence-based recommendations on the use of ISBCS due to the lack of high quality evidence. Therefore, the decision to perform ISBCS should be taken after careful discussion between the surgeon and the patient.

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Section: Introductionmentioning

confidence: 99%

Immediate Sequential Bilateral Cataract Surgery: A Systematic Review and Meta-Analysis

Kessel

Andresen²,

Erngaard

et al. 2015

Journal of Ophthalmology

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“…This was shown in 2007 in the randomized ESCRS trial (ESCRS Endophthalmitis Study Group 2007), and since then, the results have been replicated in several non-randomized studies (Wejde et al 2005;ESCRS Endophthalmitis Study Group 2007;Lundstrom et al 2007;Yu-Wai-Man et al 2008;Garat et al 2009;Anijeet et al 2010;Barreau et al 2012;van der Merwe et al 2012;Rosen 2012;Tatham & Brookes 2012;Friling et al 2013;Matsuura et al 2013;Myneni et al 2013;Rodriguez-Caravaca et al 2013;Shorstein et al 2013;Beselga et al 2014;Galvis et al 2014;Rudnisky et al 2014). This was shown in 2007 in the randomized ESCRS trial (ESCRS Endophthalmitis Study Group 2007), and since then, the results have been replicated in several non-randomized studies (Wejde et al 2005;ESCRS Endophthalmitis Study Group 2007;Lundstrom et al 2007;Yu-Wai-Man et al 2008;Garat et al 2009;Anijeet et al 2010;Barreau et al 2012;van der Merwe et al 2012;Rosen 2012;Tatham & Brookes 2012;Friling et al 2013;Matsuura et al 2013;Myneni et al 2013;Rodriguez-Caravaca et al 2013;Shorstein et al 2013;Beselga et al 2014;Galvis et al 2014;Rudnisky et al 2...…”

Section: Antibiotic Prevention Of Postcataract Endophthalmitismentioning

confidence: 89%

“…We found high quality, overwhelming evidence that intracameral antibiotics effectively prevent postoperative endophthalmitis. This was shown in 2007 in the randomized ESCRS trial (ESCRS Endophthalmitis Study Group 2007), and since then, the results have been replicated in several non-randomized studies (Wejde et al 2005;ESCRS Endophthalmitis Study Group 2007;Lundstrom et al 2007;Yu-Wai-Man et al 2008;Garat et al 2009;Anijeet et al 2010;Barreau et al 2012;van der Merwe et al 2012;Rosen 2012;Tatham & Brookes 2012;Friling et al 2013;Matsuura et al 2013;Myneni et al 2013;Rodriguez-Caravaca et al 2013;Shorstein et al 2013;Beselga et al 2014;Galvis et al 2014;Rudnisky et al 2014). We have evidence based on more than 1 million cataract surgeries showing that the risk of endophthalmitis is reduced from one in every 485 surgeries when no intracameral antibiotics is used to one of 2855 surgeries when intracameral antibiotics are used.…”

Section: Antibiotic Prevention Of Postcataract Endophthalmitismentioning

confidence: 89%

Do evidence‐based guidelines change clinical practice patterns?

Kessel

Erngaard

Flesner

et al. 2016

Acta Ophthalmologica

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In 2013, the Danish Health and Medicines Authorities published a National Clinical Guideline on the treatment of age-related cataracts. The guideline provided evidence-based recommendations on the indication for cataract surgery, cataract surgery in patients with age-related macular degeneration, on the use of toric intraocular lenses (IOLs) to correct preoperative corneal astigmatism, the use of intracameral and topical antibiotics to prevent endophthalmitis, choice of anti-inflammatory medication to control postoperative inflammation and prevent cystoid macular oedema, the use of immediate sequential bilateral cataract surgery and on the postoperative check-up of patients. A questionnaire was sent to all members of the Danish Ophthalmological Society before and after publication of the guideline. The responses showed that the guideline had changed practice patterns so that surgeons were more likely to prescribe non-steroidal anti-inflammatory eye drops and to not prescribe topical antibiotic eye drops after the guideline was published. Other parameters, most notably the use of toric IOLs and use of postoperative examinations were more guided by reimbursement standards than by evidence-based medicine. Thus, evidence-based guidelines do change practice patterns unless they are counteracted by the reimbursement system.

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“…Certainly, the most significant concern is that of bilateral potentially blinding complications such as endophthalmitis or toxic anterior segment syndrome. 1 The proponents of SDBCS indicate that given current surgical techniques, use of prophylactic intracameral antibiotics and undergoing second eye surgery with a new sterile prep and drape, a new fully sterilized instrument set, and separate batches of disposable products from disparate lots should reduce risks to infinitesimally small numbers; they also indicate that the world's literature has but few cases of bilateral infection after surgery. 2 Although the latter is true, there is a concern that complications of SDBCS could be underreported because there is a potential disincentive bias to publish severe postoperative complications.…”

mentioning

confidence: 99%

Same Day Bilateral Cataract Surgery—Who Benefits?

Masket¹

2021

Ophthalmology

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‘Bilateral same-day cataract surgery should routinely be offered to patients’ – No

Cited by 15 publications

References 17 publications

Immediate Sequential Bilateral Cataract Surgery: A Systematic Review and Meta-Analysis

Immediate Sequential Bilateral Cataract Surgery: A Systematic Review and Meta-Analysis

Do evidence‐based guidelines change clinical practice patterns?

Same Day Bilateral Cataract Surgery—Who Benefits?

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