NEW EVIDENCES IN FAVOUR OF BILATERAL SEQUENCIAL CATARACT SURGERY

In this paper, we provide new evidence in favour of bilateral cataract surgery (both eyes in the same surgical session). Most of the information thereof can be found on the website of the International Society of Bilateral Cataract Surgeons (http://isbcs.org/), a society that supports the benefits of this procedure and that, I strongly recommend to all people wanting to know more about it.

bilateral cataract surgery

Dr. Daniel S. Durrie, in Cataract and Refractive Surgery Today, Vol 12, N°4, 2012, points out the good results obtained with bilateral sequential cataract surgery and the high degree of satisfaction reported by his patients. Thanks to these results, he has increased the percentage of this surgery model in his daily practice and encourages other surgeons to do so.

In Cataract and Refractive Surgery Today, Vol 12, N°5, 2012, also assesses this surgical cataract model along with some of the most representative surgeons worldwide.  For instance, Dr. Eric Donnenfeld highlights the advantages of the same-day bilateral surgery, focusing on four points: (1) organizational benefits for the family, (2) less time and risk to the patient by not having to enter the operating room twice, (3) cost savings and, essentially, (4) faster vision’s recovery.

Another author who is in favour of simultaneous bilateral cataract surgery is  Dr. Karl G. Stonecipher. He uses the same arguments as Dr. Donnenfeld and stresses the importance of reducing the recovery time. The same-day bilateral cataract surgery versus the conventional surgery greatly decreases recovery time to two weeks approximately, (from nearly 4 weeks, down to 10 -14 days).

As far as Dr. Stephen A. Updegraff is concern, the decision to perform simultaneous bilateral surgery is based upon adopting new protocols in the calculation of intraocular lens and new technologies that enable high accuracy and are highly reproducible. Furthermore, the need of an Operating Room and a surgical protocol that minimizes the risk of infections; facts that are now available to most surgeons.

As far as we are concern, we are partakers of the above-mentioned arguments and have found that in the case of using multifocal intraocular lenses, the fact of operating both eyes at the same day, it is a key factor to help improving vision, reducing the time that patients need to feel “comfortable” at all distances. Soon, we will be able to present the results of a study that we have performed in our Eye Clinic Area Oftalmolgica Avanzada.

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