Simultaneous bilateral versus sequential bilateral cataract surgery: Helsinki Simultaneous Bilateral Cataract Surgery...

Area of Science:

• Ophthalmology
• Surgical Innovation

Background:

• Bilateral cataract surgery can be performed either simultaneously (in one session) or sequentially (in separate sessions).
• Patient outcomes and satisfaction are key considerations in determining the optimal surgical approach.

Purpose of the Study:

• To compare simultaneous versus sequential bilateral cataract surgery.
• Evaluate refractive outcomes, complication rates, and patient satisfaction.

Main Methods:

• A clinical trial involving consecutive patients undergoing bilateral cataract surgery.
• Patients were randomized to simultaneous (1 session) or sequential (4-6 weeks apart) surgery.
• Refractive accuracy, complication rates, and patient satisfaction were assessed.

Main Results:

• Refractive outcomes within ±0.50 D of target were similar (67.2% vs 69.2%).
• Complication rates, including chronic cystoid macular edema, were low and comparable between groups (0.2% vs 0.4%).
• Patient satisfaction was high (95%) and similar in both simultaneous and sequential surgery groups.

Conclusions:

• Simultaneous bilateral cataract surgery is as effective and safe as sequential surgery.
• Both approaches yield comparable refractive results, complication profiles, and patient satisfaction.