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Immediate Versus Delayed Sequential Bilateral Cataract Surgery: A Systematic Review.

Samar Al-Swailem1, Khabir Ahmad2, Abdulaziz Jabr AlJbreen3

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Summary
This summary is machine-generated.

Intracapsular cataract surgery (ISBCS) and extracapsular cataract surgery (ECCS) show comparable visual outcomes and safety. ISBCS may offer faster recovery and higher patient satisfaction in select individuals.

Keywords:
DSBCSISBCScataract surgerycomplicationsdelayed sequential bilateral cataract surgeryimmediate sequential bilateral cataract surgeryoutcomessafety or satisfactionvisual acuity

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Area of Science:

  • Ophthalmology
  • Surgical Outcomes
  • Patient-Reported Outcomes

Background:

  • Cataract surgery is a common procedure to restore vision.
  • Intracapsular cataract surgery (ISBCS) and extracapsular cataract surgery (ECCS) are established techniques.
  • Direct comparisons of ISBCS and ECCS are crucial for optimizing patient care.

Purpose of the Study:

  • To compare visual outcomes between ISBCS and ECCS.
  • To evaluate the safety profiles of ISBCS and ECCS.
  • To assess patient-reported outcomes following ISBCS and ECCS.

Main Methods:

  • Systematic literature search of major databases (PubMed, Embase, CENTRAL, Web of Science) and gray literature up to March 2023.
  • Inclusion of studies directly comparing ISBCS and ECCS in adult cataract surgery patients.
  • Independent data extraction and consensus-based resolution of discrepancies by two reviewers.

Main Results:

  • Nine studies (3 RCTs, 5 cohorts, 1 review) were analyzed.
  • Both ISBCS and ECCS demonstrated significant improvements in best-corrected visual acuity (BCVA) with comparable refractive accuracy.
  • No significant differences in major complications (endophthalmitis, CME, PCR) were found; ISBCS showed a trend towards higher patient satisfaction and faster rehabilitation.

Conclusions:

  • ISBCS is a viable and safe alternative to ECCS for carefully selected patients.
  • Potential advantages of ISBCS include improved efficiency, quicker recovery, and enhanced patient satisfaction.
  • Further high-quality RCTs with standardized measures and long-term follow-up are warranted to confirm these findings.