Immediate Sequential Bilateral Cataract Surgery: Revolutionizing Patient Care Or Pushing The Limits? Evaluation Of Three Years Experience At Eye Centre Prague.
Published 2025 - 43rd Congress of the ESCRS
Reference: PO280 | Type: Free paper | DOI: 10.82333/fb92-4c23
Authors: Gonçalo Cavaco Tardão* 1 , Renato Ambrósio Jr. 2 , Júlio Brissos 3 , Alexandre Neto 4 , Inês Machado 5 , Ana Cardoso 6 , Nuno Campos 7 , Steven E. Wilson 8
1Ophthalmology,Unidade Local de Saúde Almada-Seixal,Almada,Portugal, 2Ophthalmology,Federeal University The State of Rio de Janeiro,Rio de Janeiro,Brazil;Ophthalmology,Federal University of São Paulo, São Paulo,São Paulo,Brazil;Opthalmology,c Rio de Janeiro Corneal Tomography and Biomechanics Study Group, Rio de Janeiro,Rio de Janeiro,Brazil;Ophthalmology,RioVision Hospital, Rua Prudente de Moraes, 1276, Rio de Janeiro,Rio de Janeiro,Brazil;Ophthalmology,Brazilian Study Group of Artificial Intelligence and Corneal Analysis – BrAINBrazilian Study Group of Artificial Intelligence and Corneal Analysis – BrAIN,Rio de Janeiro,Brazil;Ophthalmology,Instituto de Olhos Renato Ambrósio, Rio de Janeiro,Rio de Janeiro,Brazil, 3Ophthalmology,Unidade Local de Saúde de São José,Lisboa,Portugal, 4Ophthalmology,Federeal University The State of Rio de Janeiro,Rio de Janeiro,Brazil, 5Ophthalmology,Unidade Local de Saúde Almada-Seixal,Almada,Portugal;Ophthalmology,Clínica CUF Almada,Almada,Portugal;Ophthalmology,Hospital CUF Tejo,Lisboa,Portugal;Ophthalmology,Hospital CUF Tejo,Lisboa,Portugal;Ophthalmology,Hospital CUF Tejo,Lisboa,Portugal, 6Ophthalmology,Unidade Local de Saúde Almada-Seixal,Almada,Portugal;Ophthalmology,Hospital CUF Tejo,Lisboa,Portugal;Ophthalmology,Clínica CUF Almada,Almada,Portugal, 7Ophthalmology,Unidade Local de Saúde Almada-Seixal,Almada,Portugal;Ophthalmology,Hospital CUF Tejo,Lisboa,Portugal, 8Ophthalmology,Cole Eye Institute, I-32, Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH, United States 44195.,Cleveland,United States
Purpose
To evaluate the one-year follow-up of perioperative and postoperative complications, refractive deviation, and the frequency of follow-up visits in patients who underwent Immediate Sequential Bilateral Cataract Surgery (ISBCS).
Setting
Eye Centre Prague, Prague Czech Republic
Methods
A retrospective analysis was conducted on all patients who underwent ISBCS at our institution between February 2022 and February 2025. Data collection included cataract type, preoperative best-corrected visual acuity (BCVA), coexisting ocular pathologies, type of implanted intraocular lens (IOL), and intraoperative complications. Postoperative follow-up assessed visual acuity, manifest refraction, necessity for refractive correction, and any complications.
Results
A total of 3196 patients (6392 eyes) underwent ISBCS within the study period. No cases of postoperative endophthalmitis or toxic anterior segment syndrome (TASS) were reported. ISBCS was indicated for eight patients with complex cataracts in both eyes due to poor mobility or systemic health issues (2 cases of intumescent cataract, 2 cases of brunescent cataract, and 2 cases of extremely narrow pupils requiring intraoperative management). In three cases, primary IOL implantation was not performed. Bilateral laser enhancement for residual refractive error was required in one patient with trifocal IOLs. No of the patients develop any postoperative inflammation bilaterally.
Conclusions
ISBCS remains a viable option for cataract surgery when carefully selected. The decision for bilateral surgery should be made based on the surgeon’s assessment and patient preference. No increased incidence of intraoperative or postoperative complications was observed compared to Delayed Sequential Bilateral Cataract Surgery (DSBCS). ISBCS offers advantages in terms of faster neuroadaptation, reduced anisometropia, fewer healthcare visits, and lower overall costs, while maintaining a comparable safety profile.