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Patient outcomes for simultaneous bilateral intraocular lens surgery

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First Author: J.Venter UK

Co Author(s):    S. Hannan   d. Teenan                 

Abstract Details

Purpose:

To evaluate the safety and efficacy of simultaneous approaches to patients who underwent bilateral intraocular lens surgery with multifocal implants

Setting:

Private Refractive Surgery (Optical Express) UK

Methods:

A cohort of patients who underwent simultaneous bilateral (same day) intraocular lens surgery procedures with multifocal implants was compared to a matched cohort who underwent delayed sequential (non-simultaneous, separate day) implantations with multifocal implants. The setting was private refractive surgery clinics. Monocular and binocular UCDVA and UCNVA scores were recorded 1 day, 1 month and 3 months post operatively. Patient reported outcome scores to include overall satisfaction were recorded at 1 day, 1 month and 3 month postoperatively. Clinical assessments, including any complications, were recorded in the electronic medical record

Results:

Total simultaneous procedures was 4898 (2449 patients) compared with 1996 (998 patients) non-simultaneous procedures. Three months postoperatively, 88.3% (simultaneous group) had binocular UCDVA of 6/6 or better vs. 87.7% (non-simultaneous group) (p>0.05); 85.2% had binocular UCNVA of N6 or better vs. 87.9% in the non-simultaneous group (p=0.041). Change in BCDVA of >2 lines was measured at 3 months as 0.6% of simultaneous group and 0.7% (p>0.05) of non-simultaneous group. Complication rates between both groups were matched. Patients reported being “Very Satisfied” or “Satisfied” with outcome in 85.5% of the simultaneous group, compared to 89.1% in the non-simultaneous group (p=0.0219).

Conclusions:

UCDVA outcomes were not significantly different between simultaneous and non-simultaneous bilateral procedures measured 3 months post operatively (p>0.05). UCNVA scores also showed a small difference measured 3 months post operatively (p=0.041). Change in BCDVA was not significantly different between the groups (p>0.05). Complication profiles appear similar. Both cohorts report high levels of postoperative satisfaction

Financial Disclosure: