Posters

Immediate sequential bilateral cataract surgery: experience from a secondary care centre in the United Kingdom

Poster Details

First Author: B.Manzouri UK

Co Author(s):    A. De Lassus   M. Ozturk   C. Claoue              

Abstract Details

Purpose:

It has been predicted that, with the increasing demands of an ageing population, the number of cataract surgeries performed globally will continue to increase. This will require both health care systems and health care providers to increase surgical efficiencies without compromising excellent surgical outcomes. Immediate sequential bilateral cataract surgery (ISBCS) may well provide the solution to this impending problem. A retrospective data analysis of patients who underwent ISBCS with foldable intraocular lens (IOL) implantation between January 2011 to December 2017 was performed.

Setting:

Queen's Hospital NHS Trust, a secondary care provider in the United Kingdom.

Methods:

A retrospective data analysis of patients who underwent ISBCS with foldable intraocular lens (IOL) implantation between January 2011 to December 2017 was performed. Patients with visually significant bilateral cataract within the axial length range of 21.0–29.0 mm were included in the study. The indications, intraoperative and postoperative complications, and the resultant visual acuities were analysed and the benefits, both financial and otherwise, of this surgery to the healthcare provider and the patient evaluated.

Results:

A total number of 159 patients were identified who underwent ISBCS and the notes of 122 patients were analysed (244 eyes) with an age range of 46-98 years. No sight threatening complications such as endophthalmitis, retinal detachment and intraocular haemorrhage occurred in any of the eyes. The reasons for undergoing ISBCS were analysed and the financial advantages of sequential surgery, both for the patient and hospital, are outlined.

Conclusions:

IBSCS may be considered as a preferred practice in eligible cases considering significant patient benefits such as early visual rehabilitation, time and cost effectiveness, and better compliance with postoperative medications. In addition, it also provides a number of financial advantages to both the patient and the healthcare provider. It is a safe technique that needs greater uptake among ophthalmologists providing the tenets of the International Society of Bilateral Cataract Surgeons are followed.

Financial Disclosure:

None