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Updated: Sep 4, 2025

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Immediate sequential bilateral cataract surgery: patient perceptions and preferences.

Jonathan Malcolm1, Christopher Leak2, Alexander C Day2,3

  • 1International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, WC1E 7HT, UK. jonathanpmalcolm@gmail.com.

Eye (London, England)
|July 20, 2022
PubMed
Summary

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This summary is machine-generated.

More NHS patients would choose immediate sequential bilateral cataract surgery (ISBCS) if offered. Patient misunderstandings about recovery and surgeon reluctance may hinder ISBCS adoption.

Area of Science:

  • Ophthalmology
  • Public Health
  • Surgical Innovation

Background:

  • Immediate sequential bilateral cataract surgery (ISBCS) offers efficiency gains for the NHS but is underutilized (<0.5% of patients).
  • Surgeon attitudes are a known barrier, but patient perceptions of ISBCS remain largely unexplored.
  • Increasing ISBCS uptake could help manage the UK's cataract burden and surgical backlogs.

Purpose of the Study:

  • To investigate patient awareness, willingness, and attitudes towards ISBCS.
  • To identify key motivators and barriers influencing patient decisions regarding ISBCS.
  • To inform strategies for increasing ISBCS adoption in the NHS.

Main Methods:

  • A structured questionnaire was administered to 183 patients across three NHS hospital cataract clinics.

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  • The questionnaire included both open-ended and closed-ended questions to assess patient awareness, willingness, and attitudes.
  • Data collected focused on patient perceptions of ISBCS and factors influencing their choices.

    • Main Results:

    • Only 43% of patients were aware of ISBCS, primarily through clinic staff.
    • Just over one-third of patients would opt for ISBCS if given the choice.
    • Convenience was the main motivator, while perceived risk of complications was the primary barrier; patient misunderstandings about recovery were also noted.

    Conclusions:

    • A significant proportion of NHS patients are willing to undergo ISBCS when presented with the option.
    • Surgeon reluctance to recommend ISBCS and patient misconceptions about the recovery process appear to be limiting its uptake.
    • Addressing patient education and surgeon attitudes is crucial for increasing ISBCS utilization and improving cataract care efficiency.