Immediate Sequential Bilateral Surgery in Refractive Lens Exchange Patients

Hannan, Stephen J.; Schallhorn, Steven C.; Venter, Jan A.; Teenan, David; Schallhorn, Julie M.

doi:10.1016/j.ophtha.2023.04.013

Cited by 8 publications

(2 citation statements)

References 33 publications

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“…Assessing the refractive accuracy of ISBCS in patients with premium IOLs would be beneficial, but this has already been addressed in our previous study in a population of refractive lens exchange patients. 3 A small proportion of patients included in the adverse event count did not reach 1-month postoperative visit, and this could be a potential limitation of this study. However, these patients were mostly those who achieved very good outcomes in the early postoperative period and did not want to return for further follow-ups.…”

Section: Discussionmentioning

confidence: 89%

“…1,2 However, there is growing evidence that same-day immediate sequential bilateral cataract surgery (ISBCS) is a safe alternative to DSBCS. 3 ISBCS affords the patient a more rapid and comfortable visual recovery, reduced symptoms caused by DSBCS of induced anisometropia, and a reduction in costs and wait times for surgery. 1,2,4 There is also a suggestion that same-day cataract surgery for both eyes has the potential to use financial, environmental, and human resources more effectively and also afford patients the opportunity to experience a faster return to binocular visual function.…”

Section: Introductionmentioning

confidence: 99%

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Immediate Sequential Bilateral Cataract Surgery in Patients with Bilateral Visually Significant Cataracts

Raju,

Hannan,

Belovari

et al. 2024

OPTH

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To report our experience of performing immediate sequential bilateral cataract surgery (ISBCS) in patients with visually significant cataracts and reduced preoperative corrected distance visual acuity (CDVA). Methods: Data of patients who underwent ISBCS for visually significant cataracts and had preoperative CDVA ≤20/32 (≤0.2 logMAR) in each eye were retrospectively reviewed. Refractive and visual outcomes were evaluated for the last available postoperative visit. Intraoperative and serious postoperative adverse events occurring within the first three months of surgery were reviewed. Results: A total of 1335 patients (2670 eyes) were included in the analysis, with a mean age of 71.9 ± 9.5 years. On the last visit, 50.2% and 89.1% of eyes achieved uncorrected distance visual acuity (UDVA) ≥20/20 (0.0 logMAR) and ≥20/32 (0.2 logMAR), respectively. Of all eyes, 83.8% were within ±0.50D, and 96.4% were within ±1.00 D of emmetropia. Ten patients had postoperative bilateral ametropia of more than 1.00D in each eye, but eight of them still achieved binocular UDVA ≥20/40. Intraoperative events occurred in 14 eyes of 13 patients (per-eye incidence: 0.524% or 1 in 191 eyes). A total of 86 postoperative adverse events occurred in 80 eyes of 53 patients (per-eye incidence 2.996% or 1 in 33 eyes), of which cystoid macular edema was the most common. Only three eyes had CDVA reduced by more than two Snellen lines compared to preoperative CDVA, two of which were not related to cataract surgery. There was no patient with bilateral CDVA loss. Conclusion:In our cohort of patients with visually significant cataracts, ISBCS resulted in good refractive predictability and a low incidence of serious adverse events.

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Section: Discussionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Immediate Sequential Bilateral Cataract Surgery in Patients with Bilateral Visually Significant Cataracts

Raju,

Hannan,

Belovari

et al. 2024

OPTH

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Refractive lens exchange – the evidence behind the practise

Chan,

Varma

2024

Eye

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Refractive Lens Exchange: A Review

Baur,

Mueller,

Labuz

et al. 2024

Klin Monbl Augenheilkd

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In recent decades, technical advancements in lens surgery have considerably improved safety and refractive outcomes. This has led to a much broader range of indications for refractive lens exchange (RLE). Effective restoration of uncorrected distance and near visual acuity is possible with modern presbyopia correcting intraocular lenses (IOLs). Hyperopic patients who are fully presbyopic were identified as ideal candidates for RLE. For myopic patients, an increased risk of retinal detachment has been reported, which leads to a higher threshold to perform RLE in this patient group. The most frequent postoperative complications include posterior capsular opacification, deviation from the target refraction and cystoid macular edema. Thus, adequate planning of surgery, careful patient selection, as well as comprehensive counseling are crucial for successful RLE.

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Immediate Sequential Bilateral Surgery in Refractive Lens Exchange Patients

Cited by 8 publications

References 33 publications

Immediate Sequential Bilateral Cataract Surgery in Patients with Bilateral Visually Significant Cataracts

Immediate Sequential Bilateral Cataract Surgery in Patients with Bilateral Visually Significant Cataracts

Refractive lens exchange – the evidence behind the practise

Refractive Lens Exchange: A Review

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