Immediately sequential bilateral cataract surgery: an academic teaching center's experience
Susan Ruyu Qi1, Roxanne Arsenault, Mélanie Hébert
1From the Department of Ophthalmology, Hôpital du Saint-Sacrement, Quebec City, Canada (Qi, Hébert, You, Légaré, Mercier), the Department of Medicine, Université Laval, Quebec City, Canada (Qi, Arsenault, Hébert, You, Légaré, Mercier), and the Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Canad a (Arshinoff).
Journal of Cataract and Refractive Surgery
|August 20, 2021
Summary
Immediately sequential bilateral cataract surgery (ISBCS) is a safe procedure with minimal complications. This study found good visual outcomes and refractive results following ISBCS guidelines.
Area of Science:
- Ophthalmology
- Surgical Outcomes
- Patient Safety
Background:
- Cataract surgery is a common procedure worldwide.
- Assessing the safety and efficacy of immediately sequential bilateral cataract surgery (ISBCS) is crucial for patient care.
- Establishing best practices for ISBCS is essential for optimizing surgical outcomes.
Purpose of the Study:
- To evaluate the safety and outcomes of immediately sequential bilateral cataract surgery (ISBCS).
- To assess complication rates and visual acuities following ISBCS at a Canadian academic teaching center.
Main Methods:
- Retrospective cohort study of 2003 patients (4006 eyes) undergoing ISBCS.
- Data collected included intraoperative and postoperative complications, visual acuities (UCVA, PHVA), and autorefraction.
- Patients received topical anesthesia between January 2019 and December 2019.
Main Results:
- Low complication rates: 0.3% posterior capsule ruptures, 0.2% partial zonulysis.
- No cases of endophthalmitis or toxic anterior segment syndrome reported.
- Mean 5-week postoperative uncorrected distance visual acuity (UCVA) was 20/33, pinhole visual acuity (PHVA) was 20/28, with a mean spherical equivalent of -0.21 diopters.
Conclusions:
- ISBCS, when performed according to established guidelines, is a safe and effective procedure.
- The study demonstrated a low incidence of complications, with no bilateral-specific adverse events.
- Good visual and refractive outcomes support the continued use of ISBCS.
