Simultaneous Bilateral Phacoemulsification

Simultaneous bilateral cataract surgery: Economic analysis; Helsinki Simultaneous Bilateral Cataract Surgery Study Report 2

“…[4][5][6][7][8][9][10][11][12] In addition, patient-rated satisfaction was excellent in both the study group and the control group. 2 The economic part of the study confirms the hypothesis that simultaneous bilateral cataract surgery provides meaningful savings in both the health-care and non-health-care costs.…”

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.…”

Is it time for a new attitude to "simultaneous" bilateral cataract surgery?

“…Transient IOP elevation occurred in 3.7% after immediately sequential phacoemulsification, but resolved by the second postoperative day 2. The national rate in 1993 for uniocular surgery was 5.3% on the first postoperative day and 2.3% by 3 months 15.…”

“…Ramsay and colleagues reported a posterior capsule rupture rate of 5% with vitreous loss in 3%, there was one case of bilateral vitreous loss during 453 cases of immediately sequential ECCE 3. Diaper and colleagues reported three cases of posterior capsule rupture (2.4%), one requiring vitrectomy (1.2%), and one case of zonular dehiscence (1.2%) during 41 cases of ISCS; none was bilateral and there were no cases of endophthalmitis 2. Pearce stated that during 129 cases of ISCS there were two holes in the posterior capsule (0.8%) but no vitreous loss or endophthalmitis 17.…”

“…Hyphaema was seen in 0.8% of cases following immediately sequential ECCE1 and in 0–1.2% following immediately sequential phacoemulsification 217Both eyes were affected in 0.3–1.5% and the final visual acuity was 6/12 or better 1…”