Refractive outcomes and safety profile after sequential bilateral cataract surgery.

Area of Science:

• Ophthalmology
• Surgical Innovation
• Patient Outcomes

Background:

• Bilateral cataracts often require surgical intervention.
• Simultaneous bilateral cataract surgery (SBCS) offers potential efficiency benefits.
• Assessing the safety and efficacy of SBCS in private practice is crucial.

Purpose of the Study:

• To evaluate the safety and effectiveness of simultaneous bilateral cataract surgery (SBCS).
• To analyze postoperative refractive outcomes and visual acuity.
• To determine the incidence of complications, including Toxic Anterior Segment Syndrome (TASS).

Main Methods:

• Retrospective observational study of 100 patients (200 eyes) undergoing SBCS.
• Preoperative assessments included visual acuity, refraction, biometry, and anterior segment examination.
• Surgical techniques involved femtosecond laser-assisted or stop-and-chop methods, adhering to iSBCS guidelines.

Main Results:

• A low complication rate of 2.5% was observed, with all cases successfully managed medically.
• No cases of endophthalmitis were reported.
• Significant visual acuity improvement to 0.096 logMAR or better by week four and accurate refractive outcomes were achieved.

Conclusions:

• SBCS is a safe and effective procedure for bilateral cataracts.
• Excellent visual and refractive outcomes were achieved with a low incidence of complications.
• SBCS is a viable surgical option in private settings with strict adherence to protocols.