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Updated: Jan 31, 2026
Author Spotlight: Unraveling the Molecular Mechanisms in PCO and Fibrosis Following Cataract Surgery
Published on: December 1, 2023
Do we need day-1 postoperative follow-up after cataract surgery?
Andrzej Grzybowski1,2, Piotr Kanclerz3
1Department of Ophthalmology, University of Warmia and Mazury, Olsztyn, Poland. ae.grzybowski@gmail.com.
Routine first postoperative day (POD1) follow-up visits after uncomplicated cataract surgery are not supported by current literature. Eliminating this visit can save healthcare costs without increasing patient risk, especially with proper topical steroid and glaucoma medication use.
Area of Science:
- Ophthalmology
- Surgical Outcomes
- Healthcare Economics
Background:
- Phacoemulsification cataract surgery (PCS) is a common procedure.
- Postoperative complications can occur, necessitating follow-up care.
- The necessity of a first postoperative day (POD1) follow-up visit after standard PCS is debated.
Purpose of the Study:
- To evaluate the nature and frequency of POD1 complications after standard PCS.
- To determine if a POD1 follow-up visit is justified after standard PCS.
Main Methods:
- Literature search of the PubMed database.
- Keywords included: postoperative, follow-up visit, complications, intraocular pressure (IOP), phacoemulsification, cataract surgery.
- Analysis of 45 articles published between 1994 and 2017.
Main Results:
- Common complications include corneal edema, uveitis, IOP elevation, and posterior capsule opacification.
- Most complications do not require early surgical intervention.
- Alternatives to POD1 follow-up include telephone questionnaires and shared care.
Conclusions:
- POD1 follow-up is not supported for uneventful PCS in low-risk patients.
- Eliminating POD1 visits may lead to significant healthcare savings.
- Appropriate topical steroid and glaucoma medication use is recommended if POD1 visit is eliminated.
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