Immediate versus delayed sequential bilateral cataract surgery

[...]when interpreting these results, one should consider that the adjustment of intraocular lens power to the second eye for the DSBCS procedure was based on a 1-week refractive outcome for the first eye and the refraction might not be stable at such an early stage, and whether the refractive outco...

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Bibliographic Details
Published in:The Lancet (British edition) 2023-06, Vol.401 (10392), p.1907-1909
Main Authors: Dmuchowska, Diana Anna, Obuchowska, Iwona, Konopinska, Joanna
Format: Article
Language:English
Subjects:
Accidents
Activities of daily living
Binocular vision
Cataract
Cataract Extraction
Cataracts
Cost analysis
Eye
Eye (anatomy)
Eye surgery
Fractures
Humans
Intraocular lenses
Patients
Phacoemulsification
Population studies
Professional activities
Reimbursement
Surgery
Traffic accidents
Traffic accidents & safety
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Summary:[...]when interpreting these results, one should consider that the adjustment of intraocular lens power to the second eye for the DSBCS procedure was based on a 1-week refractive outcome for the first eye and the refraction might not be stable at such an early stage, and whether the refractive outcome in both groups would still be similar if the study included patients with higher refractive errors. [...]visual recovery after DSBCS takes twice as long as after ISBCS, which causes a delay in the return to professional activities and the activities of daily living. [...]some studies demonstrated that because of postoperative anisometropia and binocular vision disorders, the risk of accidents and traumatic events, such as leg fractures or traffic accidents with the patient as a driver, increases in the period between the surgery for one eye and the other eye.5 As shown by Spekreijse and colleagues,4 even in their cohort selected based on the axial length criterion, patients undergoing DSBCS reported disturbing anisometropia between the first-eye and the second-eye surgery significantly more often. The results of the cost-effectiveness analysis by Spekreijse and colleagues4 refer to a short period and should be interpreted in the specific context of the trial, country, and patient population. [...]future studies would benefit from including different scenarios considering both costs and the clinical outcomes throughout the patient's lifetime.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(23)00692-X