Simultaneous bilateral cataract surgery: 10 years follow-up outcomes

Session Details

Session Title: Cataract Surgery Outcomes/Practice Styles/Biometry

Session Date/Time: Monday 12/09/2016 | 14:00-16:00

Paper Time: 15:42

Venue: Auditorium C6

First Author: : P.Smahliou GREECE

Co Author(s): :    V. Mela   L. Condis                 

Abstract Details

Purpose:

To evaluate the effectiveness and safety of simultaneous bilateral cataract surgery after 10 years follow up visit.

Setting:

Smahliou Eye-Clinic, Athens, Greece

Methods:

Clinical outcomes of a prospective study of 992 eyes (496 patients), which underwent simultaneous bilateral cataract surgery (SBCS). Mean age was 74.57±9.12 y.o (range 44-95). Preoperative and postoperative distance and near visual acuities were compared and 10 years postoperative complications were reported as well.

Results:

No intraoperative complications were observed. Spherical equivalent showed a statistically significant reduction from -1.48±4.55 logMAR to -0.38±0.56 logMAR, 10 years postoperatively. Corrected Distance and Near Visual Acuities (CDVA and CNVA) improved from 0.40±0.35 logMAR and 2.58±0.72 Jeager (J) preoperatively, to 0.08±0.16 logMAR and 1.15±0.41 J respectively (p<0.005), 10 years after SBCS. 93.34% of our patients had no complications 10 years postoperatively. 1.71% had posterior capsule opacification (PCO), 0.20% had posterior vitreous detachment (PVD), 0.20% were diagnosed with cystoid macular edema (CME) and 0.10% with central serous retinopathy (CSR). In 4.44% of patients, the preoperative complication (age related macular degeneration (AMD), glaucoma, macular hole, amblyopia and nystagmus) remained 10 years after SBCS.

Conclusions:

SBCS is a safe and effective procedure which may reduce postoperative chair time and prevent anisometropia or diplopia problems. Both distance and near visual acuities can be well improved, without causing serious complications even 10 years postoperatively.

Financial Disclosure:

NONE