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More than 10 Years of Experience with Immediate Sequential Bilateral Cataract Extraction (ISBCE)—A Retrospective Study

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http://www.scirp.org/journal/PaperInformation.aspx?PaperID=51839#.VHfSomfHRK0

Background: To evaluate the safety of immediate sequential bilateral cataract extraction (ISBCE) with respect to indications, visual outcomes, complications, benefits and disadvantages. Methods: This is a retrospective review of all ISBCEs performed at Kantonsspital Winterthur, Switzerland, between April 2000 and September 2013. The case notes of 500 eyes of 250 patients were reviewed. Of these 500 eyes, 472 (94.4%) had a straight forward phacoemulsification with posterior chamber intraocular lens implantation; 21 (4.2%) had a planned extracapsular cataract extraction; 4 (0.8%) had an intracapsular cataract extraction and 3 (0.6%) had a combined phacoemulsification with trabeculectomy. Results: Over 66% of eyes achieved improved visual acuity (at least 3 Snellen lines) following ISBCE. Median preoperative best corrected visual acuity (BCVA) was 0.5 LogMAR; the interquartile range was [0.4, 1] LogMAR. At one week control the median BCVA was 0.3 LogMAR, IQR [0.1, 0.5] LogMAR. At one month the median BCVA was 0.15 LogMAR, IQR [0.05, 0.3] (p < 0.01). There were no sight-threatening intraoperative or postoperative complications observed. Conclusions: ISBCE is an effective and safe option with high degree of patient satisfaction. The relative benefits of ISBCE should be balanced against the theoretically enhanced risks.
Cite this paper
Guber, I. , Bergin, C. and Stürmer, J. (2014) More than 10 Years of Experience with Immediate Sequential Bilateral Cataract Extraction (ISBCE)—A Retrospective Study. Open Journal of Ophthalmology, 4, 139-144. doi: 10.4236/ojoph.2014.44022. 
 

[1] Jhanji, V., Sharma, N., Prakash, G. and Titiyal, J.S. (2007) Simultaneous Bilateral Cataract Surgery in Developing Countries. Journal of Cataract & Refractive Surgery, 33, 363.
http://dx.doi.org/10.1016/j.jcrs.2006.10.064
[2] Analeyz, Inc. (2012) Survey of US ASCRS Members.
http://www.analeyz.com/NEWAnaleyz%20ASCRS %202012.htm
[3] Arshinoff, S. (2008) Bilateralendophthalmitis after Simultaneous Bilateral Cataract Surgery. Journal of Cataract & Refractive Surgery, 34, 2006-2008.
http://dx.doi.org/10.1016/j.jcrs.2008.08.036
[4] Li, O., Kapetanakis, V. and Claoué, C. (2014) Simultaneous Bilateral Endophthalmitis after Immediate Sequential Bilateral Cataract Surgery: What’s the Risk of Functional Blindness? American Journal of Ophthalmology, 157, 749-751.
http://dx.doi.org/10.1016/j.ajo.2014.01.002
[5] Leivo, T., Sarikkola, A.U., Uusitalo, R.J., Hellstedt, T., Ess, S.L. and Kivelä, T. (2011) Simultaneous Bilateral Cataract Surgery: Economic Analysis; Helsinki Simultaneous Bilateral Cataract Surgery Study Report 2. Journal of Cataract & Refractive Surgery, 37, 1003-1008.
http://dx.doi.org/10.1016/j.jcrs.2010.12.050
[6] Arshinoff, S.A. and Chen, S.H. (2006) Simultaneous Bilateral Cataract Surgery: Financial Differences among Nations and Jurisdictions. Journal of Cataract & Refractive Surgery, 32, 1355-1360.
http://dx.doi.org/10.1016/j.jcrs.2006.02.064
[7] Arshinoff, S.A. (2012) Same-Day Cataract Surgery Should Be the Standard of Care for Patients with Bilateral Visually Significant Cataract. Survey of Ophthalmology, 57, 574-579.
http://dx.doi.org/10.1016/j.survophthal.2012.05.002
[8] Henderson, B.A. and Schneider, J. (2012) Same-Day Cataract Surgery Should Not Be the Standard of Care for Patients with Bilateral Visually Significant Cataract. Survey of Ophthalmology, 57, 580-583.
http://dx.doi.org/10.1016/j.survophthal.2012.05.001
[9] International Society of Bilateral Cataract Surgeons (2013) General Principles for Excellence in iSBCS 2009.
http://www.isbcs.org
[10] Arshinoff, S.A. (2006) Need for Strict Aseptic Separation of the 2 Procedures in Simultaneous Bilateral Cataract Surgery. Journal of Cataract & Refractive Surgery, 32, 376-377.
http://dx.doi.org/10.1016/j.jcrs.2005.12.085
[11] Government of Spain Publication (2006) Seguridad, efectividad y costeefectividadde la cirugía decataratas bilateral y simultáneafrente a la cirugía bilateral decataratas en dos tiempos. Informes de Evaluaciónde Tecnologías SanitariasSESCS Núm.
http://www2.gobiernodecanarias.org/sanidad/scs/content/660372e4-1f33-11e0-964e-
f5f3323ccc4d/2006_05.pdf
[12] Sarikkola, A.U., Kontkanen, M., Kivelä, T. and Laatikainen, L. (2004) Simultaneous Bilateral Cataract Surgery: A Retrospective Survey. Journal of Cataract & Refractive Surgery, 30, 1335-1341.
http://dx.doi.org/10.1016/j.jcrs.2004.02.045
[13] Arshinoff, S.A. and Bastianelli, P.A. (2011) Incidence of Postoperative Endophthalmitis after Immediate Sequential Bilateral Cataract Surgery. Journal of Cataract & Refractive Surgery, 37, 2105-2114.
http://dx.doi.org/10.1016/j.jcrs.2011.06.036
[14] Friling, E., Lundstrom, M., Stenevi, U. and Montan, P. (2013) Six-Year Incidence of Endophthalmitis after Cataract Surgery: Swedish National Study. Journal of Cataract & Refractive Surgery, 39, 15-21.
http://dx.doi.org/10.1016/j.jcrs.2012.10.037
[15] Lundstrom, M., Albrecht, S., Nilsson, M. and Astrom, B. (2006) Benefit to Patients of Bilateral Same-Day Cataract Extraction: Randomized Clinical Study. Journal of Cataract & Refractive Surgery, 32, 826-830.
http://dx.doi.org/10.1016/j.jcrs.2006.01.075
[16] Kim, S.Y., Park, Y.H., Kim, H.S. and Lee, Y.C. (2007) Bilateral Toxic Anterior Segment Syndrome after Cataract Surgery. Canadian Journal of Ophthalmology, 42, 490-491.
http://dx.doi.org/10.3129/i07-067
[17] Neel, S.T. and Cost, A. (2014) Minimization Analysis Comparing Immediate Sequential Cataract Surgery and Delayed Sequential Cataract Surgery from the Payer, Patient, and Societal Perspectives in the United States. JAMA Ophthalmology, Published Online.
http://dx.doi.org/10.1001/jamaophthalmol.2014.2074
[18] Chandra, A. and Claoué, C. (2010) Simultaneous Bilateral Cataract Surgery: A Further Advantage. Eye, 24, 1113-1114.
http://dx.doi.org/10.1038/eye.2009.276                     eww141128lx
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