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Author Spotlight: Unraveling the Molecular Mechanisms in PCO and Fibrosis Following Cataract Surgery
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Immediate sequential bilateral cataract surgery: surgeon preferences and concerns.

Laura B Amsden1, Neal H Shorstein2, Helene Fevrier1

  • 1Division of Research, Kaiser Permanente Northern California, Oakland, Calif.

Canadian Journal of Ophthalmology. Journal Canadien D'Ophtalmologie
|August 19, 2018
PubMed
Summary

Most cataract surgeons perform immediate sequential bilateral cataract surgery (ISBCS) for patient convenience. Concerns about refractive outcomes and bilateral vision loss hinder adoption, but guidelines could increase ISBCS use.

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Area of Science:

  • Ophthalmology
  • Surgical Innovation
  • Patient Care

Background:

  • Immediate sequential bilateral cataract surgery (ISBCS) is increasingly requested by patients.
  • Patient-centered care models emphasize convenience and efficiency in healthcare delivery.
  • Understanding surgeon attitudes is crucial for ISBCS adoption.

Purpose of the Study:

  • To investigate cataract surgeons' perceptions and attitudes regarding immediate sequential bilateral cataract surgery (ISBCS).
  • To identify reasons for performing or not performing ISBCS.
  • To determine surgeon interest, concerns, and desired support for ISBCS.

Main Methods:

  • A cross-sectional online survey was administered to active cataract surgeons at Kaiser Permanente Northern California in 2016.
  • The survey assessed reasons for performing/not performing ISBCS, interest, concerns, and support needs.
  • 107 out of 165 surgeons (65% response rate) participated.

Main Results:

  • 86% of surveyed surgeons currently perform ISBCS, citing patient convenience (95%) and request (91%) as primary drivers.
  • Surgeons not performing ISBCS expressed concerns about refractive outcome predictability (80%) and risk of bilateral vision loss (73%).
  • A significant portion of non-ISBCS surgeons (60%) desired evidence-based patient selection criteria.

Conclusions:

  • The majority of surgeons perform ISBCS, aligning with patient-centered care and convenience.
  • Addressing surgeon concerns regarding refractive outcomes and safety through guidelines and tools could promote wider ISBCS adoption.
  • Streamlined patient education and established protocols are desired by surgeons to support ISBCS implementation.