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Immediately sequential bilateral cataract surgery (ISBCS) importance during COVID-19 pandemic better perspective results by light adjustable IOLs.

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First Author: A.Nowrouzi SPAIN

Co Author(s):    I. Pereira Gonzalez   M. Rodriguez Calzadilla   E. Fernandez Repeto   M. Gijon Polo   J. Benitez-del-Castillo   I. Mota Chozas     

Abstract Details

Purpose:

This review aims to clarify the advantages of ISBCS specially during the Covid-19 pandemic, illustrate the safety, cost-effectiveness, and a present of the necessary inclusion protocols that should be taken into consideration for the best results and to prevent possible complications. Also to clarify the advantage of using light adjustable IOLs to obtain better outcomes in this surgical approach.

Setting:

Hospital university S.A.S Jerez de la Frontera (Spain)

Methods:

This is a review study. A PubMed platform search was performed, using the following keywords: bilateral cataract surgery, simultaneous bilateral cataract surgery, sequential bilateral cataract surgery, same-day cataract surgery, bilateral cataract extraction, light adjustable IOLs. 60 articles were found of which 38 were finally analysed.

Results:

The greatest medical advantage of immediate simultaneous bilateral cataract surgery is the faster complete visual rehabilitation of the patient with a normal balanced visual system.The stereoscopic vision is immediately restored with better neuroadaptation specially in premium IOLs. A second major advantage is economic: there are lower hospital costs and also financial advantages for the patient: faster return to work and fewer hospital visits, which is the one of the most important benefits of this approach during the Covid-19 pandemic situation. Recently light adjustable IOLs is a paradigm shift to obtain better refractive outcomes in bilateral simultaneous cataract surgery.

Conclusions:

With the development of surgical techniques, better measurement equipment and new generation formulas for IOL calculation, immediate bilateral cataract surgeries are safe and have lower risk of complications. shorter hospitalization time and less visits, is really important benefit for older aged patients whom are more vulnerable during the Covid-19 pandemic situation. With careful patient selection and strict adherence to protocol, this is a method with better visual outcomes. Using light adjustable IOLs obtains better and adjustable visual outcome in this approach. We believe that soon it could become a standard in many clinics.

Financial Disclosure:

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