Immediately sequential bilateral cataract surgery
Ali Nowrouzi1, Jorge L Alió2,3
1Cornea, Cataract and Refractive Surgery Unit, Department of Ophthalmology, Hospital Quironsalud Marbella, Marbella.
Current Opinion in Ophthalmology
|February 23, 2024
Summary
Immediately sequential bilateral cataract surgery (ISBCS) is safe and cost-effective, reducing hospital visits and costs. While generally safe, careful evaluation is needed for presbyopia-correcting intraocular lenses.
Area of Science:
- Ophthalmology
- Surgical Innovation
Background:
- Cataract surgery is a common procedure.
- Bilateral cataract surgery can be performed sequentially or immediately.
Approach:
- This review analyzes recent studies on immediately sequential bilateral cataract surgery (ISBCS).
- The review assesses safety, cost-effectiveness, and the importance of inclusion protocols for ISBCS.
Key Points:
- ISBCS shows no increased risk of bilateral devastating complications like endophthalmitis compared to delayed surgery.
- Cost analyses indicate ISBCS leads to significant savings for payers, patients, and society.
- ISBCS reduces hospital visits and enhances rapid visual rehabilitation and neuroadaptation.
Conclusions:
- The risk of simultaneous bilateral complications with ISBCS is very rare with current protocols and intracameral antibiotics.
- Refractive outcomes are generally predictable with modern biometry, but presbyopia-correcting IOLs require careful consideration in ISBCS.
