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Patient-reported visual function outcomes in immediately sequential versus delayed sequential bilateral cataract

Mads Assenholt Nielsen1, Jakob Bjerager1, Gülsenay Citirak1

  • 1Department of Ophthalmology, Rigshospitalet, Copenhagen, Denmark.

Acta Ophthalmologica
|November 24, 2024
PubMed
Summary
This summary is machine-generated.

Immediate sequential bilateral cataract surgery (ISBCS) and delayed sequential bilateral cataract surgery (DSBCS) offer comparable visual outcomes. However, patients reported higher satisfaction with ISBCS due to benefits like fewer healthcare visits.

Keywords:
Catquestbilateral cataract surgerypatient‐reported outcomes

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Area of Science:

  • Ophthalmology
  • Surgical Innovation

Background:

  • Cataract surgery is a common procedure to restore vision.
  • Sequential bilateral cataract surgery involves operating on both eyes in two separate procedures.
  • The timing of the second eye surgery (immediate vs. delayed) may impact patient outcomes and satisfaction.

Purpose of the Study:

  • To compare patient-reported visual function and satisfaction between immediate sequential bilateral cataract surgery (ISBCS) and delayed sequential bilateral cataract surgery (DSBCS).

Main Methods:

  • A single-center, randomized controlled trial was conducted.
  • Patients undergoing bilateral cataract surgery were allocated to either ISBCS or DSBCS.
  • The Catquest-7SF questionnaire assessed visual function pre-surgery, 1 week post-surgery, and 3 months post-surgery.

Main Results:

  • Ninety-eight patients (51 ISBCS, 47 DSBCS) were analyzed.
  • Both ISBCS and DSBCS groups showed significant visual function improvement (p < 0.001).
  • No significant difference in visual function outcomes was observed between the two groups (p ≥ 0.424).
  • A significantly higher proportion of ISBCS patients reported being 'very satisfied' at 1 week and 3 months post-surgery compared to DSBCS patients (94.1% vs. 55.3%-63.8%, p < 0.001).

Conclusions:

  • Both ISBCS and DSBCS are effective treatments for bilateral cataracts, yielding similar visual outcomes.
  • ISBCS leads to higher patient satisfaction, likely due to advantages such as reduced healthcare visits and faster vision rehabilitation.
  • The enhanced patient satisfaction suggests ISBCS offers compelling benefits beyond visual acuity.