Visual Outcomes Of Immediate Sequential Bilateral Cataract Surgery With Premium Toric And Non-Toric Intraocular Lenses

To evaluate the visual outcomes following immediate sequential bilateral cataract surgery (ISBCS) with implantation of toric and non-toric Premium Intraocular lenses (IOLs)

A single surgeon private practice based in London

A retrospective review of 106 eyes in 53 patients with ISBCS and implantation of toric or non-toric premium intraocular lenses performed by a single surgeon between 28th October 2021 and 6th November 2023 were included. The bilateral uncorrected distance visual acuity (UDVA) and bilateral uncorrected near visual acuity (UNVA) outcomes at the post-operative follow-up between 1-4 weeks, number of post-operative follow-ups as well as any intraoperative complications were analysed.

The mean patient age was 72.66 (SD = 9.43) and the postoperative bilateral UDVA and bilateral UNVA were -0.025 LogMAR (SD = 0.062) and 0.11 LogMAR (SD = 0.023) respectively. The mean pre-operative pinhole visual acuity of 97 eyes improved from 0.15 LogMAR (SD = 0.15) to an unaided distance visual acuity (UDVA) of 0.05 LogMAR (SD = 0.10) (p<0.05). The mean number of post-operative follow-ups was 1.28 (SD 0.63) and there were no intraoperative complications.

ISBCS with implantation of toric and non-toric premium IOLs is a safe and effective method of achieving excellent visual outcomes and patient satisfaction. The advantage of ISBCS with premium IOLs includes improved stereopsis, rapid neuroadaptation and quick visual rehabilitation by eliminating anisometropia between surgeries. Compared with the traditional practice of delayed sequential bilateral cataract surgery, patients also benefit from fewer visits to the hospital for surgery and follow-up which reduces the carbon footprint and costs of treatment.