ESCRS - PP25.02 - Insights Into Immediate Sequential Bilateral Cataract Surgery: Real World Clinical Profiles And Outcomes In A Tertiary Eye Care Unit In Northern England

Insights Into Immediate Sequential Bilateral Cataract Surgery: Real World Clinical Profiles And Outcomes In A Tertiary Eye Care Unit In Northern England

Published 2024 - 42nd Congress of the ESCRS

Reference: PP25.02 | Type: Free paper | DOI: 10.82333/yyyj-6970

Authors: Vishal Vohra 1 , Krishnamoorthy Narayanan* 1 , Harshika Chawla 1

1Ophthalmology,Royal Victoria Infirmary,Newcastle Upon Tyne,United Kingdom

Purpose

Our study is aimed at contributing valuable insights to the ongoing discourse on the most efficient and effective approaches to cataract surgery. Our primary objective is to enhance patient care and elevate surgical techniques in the field of ophthalmology. We have performed a comprehensive review of the nuances of Immediate sequential bilateral cataract surgery (ISBCS) within a specific regional context, in order to identify opportunities for improvement and optimization.

Setting

Royal Victoria Infirmary,Department of Ophthalmology

Methods

This is a retrospective review of the electronic medical records of patients who underwent Immediate Sequential Bilateral Cataract Surgery (ISBCS) at our Tertiary Eye Care Unit between January 1, 2022, and December 31, 2023. The study covers an analysis of demographic information such as age and gender, as well as an examination of the reasons leading to the recommendation for ISBCS. We recorded any associated ocular and systemic comorbidities, intraoperative and postoperative complications, and visual outcomes. The study aims to provide valuable insights into the clinical profiles and outcomes associated with ISBCS in our specific regional context, which will help improve and optimize cataract surgical strategies.

Results

 
We reviewed 39 electronic medical records of Immediate Sequential Bilateral Cataract Surgery (ISBCS) patients. 58.9% were female. Reasons for listing patients for ISBCS included learning disability (23.08%), difficult positioning (20.51%), anxiety (12.82%), and dementia (12.82%). Ocular comorbidities included intumescent mature cataracts (15.38%), dense cataracts (11.5%), and shallow anterior chamber (5.3%). Systemic comorbidities included diabetes (25.60%), Parkinson's (7.69%), and epilepsy (5.13%). Additional steps required during procedures included a Malyugin ring for small pupils (6.4%), CTR insertion (1.2%), ECCE (1.2%), and Aphakia (2.5%). Surgical complications included posterior capsule rupture (1.2%) and zonular dialysis (1.2%).
 

Conclusions

This comprehensive analysis delves into the intricacies of ISBCS, providing valuable insights into the diverse patient profiles and clinical scenarios associated with this surgical approach. The findings contribute significantly to our understanding of the factors that influence decision-making. The study reveals that patients undergoing ISBCS have a higher incidence of ocular and systemic comorbidities than what has been reported in published literature, highlighting the need for careful consideration of these factors in the decision-making process. The study's results can inform the development of more personalized and optimized surgical strategies that take into account the specific clinical profiles and needs of cataract patients.