‘Bilateral same-day cataract surgery should routinely be offered to patients’ – Yes

Lam, Fook Chang; Lee, R M H; Liu, C S C

doi:10.1038/eye.2012.91

Cited by 7 publications

(3 citation statements)

References 14 publications

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“…The answer perhaps lies in the fact that many surgeons fear the inherent bilateral complications of this procedure, especially endophthalmitis, refractive surprises that cannot be corrected based on the refractive outcome of the rst eye, the nancial impact to the surgeon, and/or fear of being the object of malpractice. [3,14,15,16] Cautionary measures are mandatory for every patient undergoing a bilateral procedure for endophthalmitis prophylaxis. This risk however small requires all measures described in the reported literature.…”

Section: Discussionmentioning

confidence: 99%

Incidence of Toxic Anterior Segment Syndrome and refractive outcomes after sequential bilateral cataract surgery

Ibañez-Esparza,

Mora-González,

Alvarado-Castillo

et al. 2024

Preprint

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Purpose: This study reports the incidence of Toxic Anterior Segment Syndrome (TASS) in simultaneous bilateral cataract surgery (SBCS) and evaluates its effectiveness as distance visual acuity and postoperative refraction. Methods: Observational, cross-sectional, descriptive, and retrospective study. The study included patients diagnosed with bilateral cataracts who underwent SBCS between January 2018 and April 2020 in the Ophthalmology Unit, Hospital de Especialidades Puerta de Hierro Norte, Zapopan, Jalisco, Mexico. Those with unilateral cataracts or who did not want to undergo bilateral surgery were excluded. The effectiveness of the procedure was evaluated based on postoperative visual acuity and final refraction four weeks after surgery. Results: The study evaluated 152 eyes from 76 patients who underwent SBCS at a single center. Two cases of TASS were reported, one moderate and one mild, both unilateral and successfully treated medically. Visual outcomes were favorable in all cases and we did not have any refractive surprises. Conclusion: The study identified only two cases of TASS, aligning with the literature that classifies SBCS as effective and safe. It reinforces the idea of performing this surgery if the patient wishes or the context warrants it, emphasizing that this procedure is no longer seen as high-risk for the patient therefore it can be considered a viable and safe option in the management of bilateral cataracts offering the same refractive results as delayed sequential bilateral cataract surgery (DSBCS).

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Section: Discussionmentioning

confidence: 99%

Incidence of Toxic Anterior Segment Syndrome and refractive outcomes after sequential bilateral cataract surgery

Ibañez-Esparza,

Mora-González,

Alvarado-Castillo

et al. 2024

Preprint

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“…6 However, ISBCS allows faster visual recovery, shortened hospital stay and visits, with less time away from work, reduced travel time for surgery and postoperative follow-ups, and less dependence on others for supportive care. 7 In addition, adoption of ISBCS can lower healthcare costs because of the shorter turnover time between surgeries, avoidance of additional daycare admission, less use of home care, and reduction in travel costs. 4,8 Nonetheless, despite regional differences, same-surgical setting second-eye cataract surgery reimbursements rarely equalize the first-eye fees, a discouraging factor for providers.…”

mentioning

confidence: 99%

Immediate sequential vs delayed sequential bilateral cataract surgery: systematic review and meta-analysis

Aiello

Afflitto

Leviste

et al. 2023

J Cataract Refract Surg

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The main aim of this systematic review and meta-analysis was to evaluate the safety and efficacy profile of immediate sequential bilateral cataract surgery (ISBCS) compared with delayed sequential bilateral cataract surgery (DSBCS). MEDLINE Ovid, EMBASE, and CENTRAL databases were searched. Outcome measures were postoperative visual acuity, postoperative spherical equivalent (refractive outcome), endophthalmitis, corneal edema, pseudophakic macular edema, and posterior capsule rupture (PCR). 13 articles met criteria for final inclusion. A total of 11 068 622 participants (18 802 043 eyes) were included. No statistically significant differences between ISBCS and DSBCS were identified in all the postoperative outcomes evaluated. However, a higher risk for PCR was identified in the ISBCS group from the pooled analysis of nonrandomized studies (risk ratio, 1.34, 95% CI, 1.08-1.67, P = .0081). In our view, the ISBCS approach has an acceptable safety-efficacy profile, comparable with DSBCS. Future investigations are warranted, with a focus on the analysis of risk factors for surgical complications, patient-reported outcome-measures, and cost effectiveness.

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“…It is reported that SDBCS offers a more rapid visual outcome and stabilization in cases with high ametropia, fewer visits for postoperative care, less time away from work, reduced travel time for surgery and postoperative visits, and less dependence on others for supportive care. 9 A randomized clinical trial compared SDBCS with a waiting period of 2 months between procedures. 10 In that investigation, patients who had delayed second eye surgery had greater difficulty with daily life activities and binocular contrast sensitivity compared with the immediate same-day bilateral surgery group during their waiting period; as would be anticipated, at 4 months after the second surgery there were no differences between the 2 groups with regard to responses to a standardized questionnaire.…”

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’ – Yes

Cited by 7 publications

References 14 publications

Incidence of Toxic Anterior Segment Syndrome and refractive outcomes after sequential bilateral cataract surgery

Incidence of Toxic Anterior Segment Syndrome and refractive outcomes after sequential bilateral cataract surgery

Immediate sequential vs delayed sequential bilateral cataract surgery: systematic review and meta-analysis

Same Day Bilateral Cataract Surgery—Who Benefits?

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