Saratov JOURNAL of Medical and Scientific Research

Development and evaluation of the clinical efficiency of the technology of immediate sequential bilateral cataract surgery

Year: 2022, volume 18 Issue: №2 Pages: 190-193
Heading: Ophthalmology Article type: Original article
Authors: Medvedev I.B., Pokrovsky D.F.
Organization: Russian Research Medical University n. a. N.I. Pirogov

Objective: development and evaluation of the clinical effectiveness of the technology of immediate sequential bilateral cataract surgery (ISBCS). Material and methods. The work was carried out in two stages. As part of the first stage, a literary analysis of the traditional algorithm for conducting ISBCS was carried out, as a result of which a modified algorithm for conducting surgical intervention (molSBCS) was developed. During the second stage, 130 patients (mean age 58.4±1.8 years) with uncomplicated binocular cataract were under observation. Patients were divided into two groups of equal age and visual condition —the main group (67 people, 134 eyes), who underwent molSBCS, and the control group (63 people, 126 eyes), who (21-28 days after the first operation) underwent surgery on the second eye (delayed sequential bilateral cataract surgery, DSBCS). Results. The analysis of traditional provisions served as the basis for improving the technology of ISBCS by including a long (at least 60 minutes) break between operations with a comprehensive examination of the patient in the algorithm of surgical intervention. The data obtained indicate a similar clinical efficacy of molSBCS and DSBCS. Conclusion. The molSBCS can be considered as an effective and safe method of surgical treatment of cataracts, which is especially important for patients with visually stressful work.

1. Grzybowski A, Wasinska-Borowiec W, Claoue С Pros and cons of immediately sequential bilateral cataract surgery (ISBCS). Saudi J Ophthalmol 2016; (30): 244-9. DOI: 10.1016/j. sjopt.2016.09.001.
2. Pandey SK, Sharma V. Commentary: Immediate sequential bilateral cataract surgery during the COVID-19 pandemic. Indian J Ophthalmol 2021; 69 (6): 1585-6. DOI: 10.4103/ijo. IJO_1093_21.
3. Lee E, Balasingam B, Mills EC, et al. A survey exploring ophthalmologists' attitudes and beliefs in performing immediately sequential bilateral cataract surgery in the United Kingdom. ВМС Ophthalmol 2020; 20 (1): 210. DOI: 10.1186/s12886-020-01475-0.
4. Sandhu S, Liu D, Mathura P, et al. Immediately sequential bilateral cataract surgery (ISBCS) adapted protocol during COVID-19. Can J Ophthalmol 2021; S0008-4182 (21) 00373-2. DOI: 10.1016/j.jcjo. 2021.10.003.
5. Lansingh VC, Eckert KA, Strauss G. Benefits and risks of immediately sequential bilateral cataract surgery: A literature review. Clin Exp Ophthalmol 2015; 43 (7): 666-72. DOI: 10.1111/ceo.12527.
6. Lundstrom M, Dickman M, Henry Y, et al. Risk factors for refractive error after cataract surgery: Analysis of 282811 cataract extractions reported to the European Registry of Quality Outcomes for cataract and refractive surgery. J Cataract Refract Surg2018; (44): 447-52. DOI: 10.1016/j.jcrs.2018.01.031.
7. Rush SW, Gerald AE, Smith JC, et al. Prospective analysis of outcomes and economic factors of same-day bilateral cataract surgery in the United States. J Cataract Refract Surg 2015; 41 (4): 732-9. DOI: 10.1016/j.jcrs.2014.07.034.

2022_2_190-193.pdf268.52 KB

No votes yet