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Post-operative endophthalmitis after immediate sequential bilateral cataract Surgery: A retrospective study from
Muhammad Abdul Rehman Siddiqui1, Syed Zohaib Maroof Hussain1, Irfan Jeeva1
1Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.
JPMA. the Journal of the Pakistan Medical Association
|January 2, 2022
Summary
Immediate sequential bilateral cataract surgery is a safe procedure with no reported cases of endophthalmitis in this study. This finding supports its use in selected patients, particularly in low-middle income countries.
Area of Science:
- Ophthalmology
- Surgical Outcomes
- Public Health
Background:
- Cataract surgery is a common procedure worldwide.
- Immediate sequential bilateral cataract surgery (ISBCS) offers efficiency but carries potential risks.
- Assessing post-operative complications is crucial for patient safety.
Purpose of the Study:
- To evaluate the incidence of post-operative complications following ISBCS.
- Specifically assess the rate of endophthalmitis after ISBCS.
- Determine the safety of ISBCS in a low-middle income country context.
Main Methods:
- Retrospective analysis of patients undergoing ISBCS between 2009 and 2018.
- Data collected via a structured proforma.
- Primary outcome: incidence of endophthalmitis at 6-week follow-up. Statistical analysis using SPSS 23.
Main Results:
- Data from 298 patients (596 eyes) analyzed.
- Mean age 33.14±25.83 years; 39.26% were under 16 years.
- Zero cases of unilateral or bilateral post-operative endophthalmitis observed.
Conclusions:
- ISBCS demonstrated a favorable safety profile in this cohort.
- No endophthalmitis cases were recorded, suggesting low risk.
- The procedure is considered safe for selected patients in low-middle income settings.