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Practice of immediate sequential bilateral cataract surgery (ISBCS): A teaching hospital experience in United Kingdom.
Wang, Haoyu; Ramjiani, Vipul; Auger, Graham; Raynor, Mathew; Currie, Zanna; Tan, Jennifer.
  • Wang H; Ophthalmology Department, 105629Royal Hallamshire Hospital, Sheffield Teaching Hospital NHS Trust, Sheffield, UK.
  • Ramjiani V; Ophthalmology Department, 105629Royal Hallamshire Hospital, Sheffield Teaching Hospital NHS Trust, Sheffield, UK.
  • Auger G; Ophthalmology Department, 105629Royal Hallamshire Hospital, Sheffield Teaching Hospital NHS Trust, Sheffield, UK.
  • Raynor M; Ophthalmology Department, 105629Royal Hallamshire Hospital, Sheffield Teaching Hospital NHS Trust, Sheffield, UK.
  • Currie Z; Ophthalmology Department, 105629Royal Hallamshire Hospital, Sheffield Teaching Hospital NHS Trust, Sheffield, UK.
  • Tan J; Ophthalmology Department, 105629Royal Hallamshire Hospital, Sheffield Teaching Hospital NHS Trust, Sheffield, UK.
Eur J Ophthalmol ; : 11206721231154609, 2023 Feb 03.
Article in English | MEDLINE | ID: covidwho-2224037
ABSTRACT
BACKGROUND /

OBJECTIVES:

Utilisation of ISBCS has been encouraged since COVID-19 in line with the RCOphth recommendations. This study aims to share experience from a UK teaching hospital on ISBCS and to evaluate pre-, intra- and post-operative outcomes from the ISBCS cohort.

METHODS:

Of 3402 cataract surgeries performed between July 2020 and July 2021 (1 year since the reopening of the cataract service from COVID-19), 208 eyes of 104 patients (6.1%) undergoing ISBCS were retrospectively studied on their demographics, biometry, surgeon grades, and pre-, intra- and post-operative data.

RESULTS:

The mean age was 74.5 ± 9.4 years and 62% were female. Eighty-nine percent of the eyes were performed under local anaesthesia and 70% were 'routine' cases. Other risk factors included short eyes requiring pre-operative mannitol infusion (10%), high myopia (8%), poor dilation (2%) and a 'glaucoma' cohort [angle closure (2%) and prior trabeculectomy (1%)]. Three eyes (1%) had complications intra-operatively in second eye (1 case each posterior capsule rupture, corneal oedema and zonular dehiscence). Two patients (1%) had complications in the first eye (1 case each suprachoroidal haemorrhage, conjunctival & iris haemorrhage), hence had their second eye postponed. Twelve months post-operatively, 20 eyes (10%) had recorded post-op complications with cystoid macular oedema being the commonest (4.5%) and no endophthalmitis. Eighty-six percent were discharged with satisfaction. No significant differences were found in pre-operative features, complication rates and post-operative outcomes between consultant and non-consultant surgeons (p > 0.05).

CONCLUSIONS:

Our experience which included a cohort of high-risk patients showed safe and successful practice of ISBCS without having a negative impact on training.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Language: English Journal: Eur J Ophthalmol Journal subject: Ophthalmology Year: 2023 Document Type: Article Affiliation country: 11206721231154609

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Language: English Journal: Eur J Ophthalmol Journal subject: Ophthalmology Year: 2023 Document Type: Article Affiliation country: 11206721231154609