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Updated: Oct 31, 2025

$Author Spotlight: Advancements in Refractive Surgical Correction for Presbyopia and Exploring Postoperative Visual Acuity$

Author Spotlight: Advancements in Refractive Surgical Correction for Presbyopia and Exploring Postoperative Visual Acuity

Published on: September 20, 2024

Refractive Outcomes After Immediate Sequential vs Delayed Sequential Bilateral Cataract Surgery.

Julia P Owen¹, Marian Blazes¹, Megan Lacy¹

¹Department of Ophthalmology, University of Washington, Seattle.

JAMA Ophthalmology

|July 1, 2021

Summary

This summary is machine-generated.

Immediate sequential bilateral cataract surgery (ISBCS) may lead to worse visual outcomes compared to delayed sequential bilateral cataract surgery (DSBCS). While statistically significant, the clinical relevance of these differences requires further investigation for patient counseling.

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Area of Science:

Ophthalmology
Surgical Outcomes
Public Health

Background:

Cataract surgery is increasingly common, with 2 million procedures annually in the US.
Evolving delivery patterns necessitate analysis of visual acuity outcomes for immediate sequential bilateral cataract surgery (ISBCS) versus delayed sequential bilateral cataract surgery (DSBCS).

Purpose of the Study:

To compare refractive outcomes between ISBCS, short-interval (1-14 days) DSBCS (DSBCS-14), and long-interval (15-90 days) DSBCS (DSBCS-90).

Main Methods:

Retrospective cohort study utilizing the American Academy of Ophthalmology IRIS Registry.
Analysis of 1,824,196 participants undergoing bilateral cataract surgery, categorized by the timing of the second eye procedure.
Linear regression models analyzed refractive outcomes (uncorrected visual acuity [UCVA] and best-corrected visual acuity [BCVA]) for both eyes.

Main Results:

ISBCS was associated with lower UCVA and BCVA compared to DSBCS-90 for both the first and second surgical eyes.
DSBCS-14 showed improved UCVA and BCVA compared to DSBCS-90 for the first surgical eye, and improved UCVA and BCVA for the second surgical eye.
Statistical significance was observed across comparisons, though the clinical relevance is debated.

Conclusions:

ISBCS is linked to worse visual outcomes than DSBCS-14 or DSBCS-90.
The clinical significance of these findings may depend on individual patient risk factors.
Further research is needed to determine the clinical relevance for patient counseling regarding cataract surgery timing.