Development of day case cataract surgery: a literature review

There is increasing demand for day case cataract surgery. This review looks at the varying criteria for suitable patients and compares the use of local or general anaesthesia for day surgery. Preassessment clinics and the possible limitations of patient transport are discussed. Length of stay in the day unit, nurse involvement and discharge procedures are examined. Postoperative visits are reviewed. Studies show that the clinical outcome is not affected by outpatient surgery and that patients report a high level of satisfaction with their day care. Day case cataract surgery is safe and cost-effective and increased patient demand will become a significant factor favouring day case surgery in the future. Further research into patients' attitudes to the continuity of nursing care from preoperative assessment, through surgery to discharge, and whether this plays a part in their overall satisfaction, is recommended.