Low Complication Rates Of Immediate Sequential Bilateral Cataract Surgery In A Turkish Single-Center Experience
Published 2026 - 44th Congress of the ESCRS
Reference: POCAT182 | Type: Free paper | DOI: 10.82333/8q24-9m14
Authors: Dr Deniz Kilic* 1 , A/Prof. Erkan Unsal 1 , Mustafa Aksoy 1 , Aydın Toprak 2 , Mine Toprak 2
1Ophthalmology,Dunyagoz Hospital,Izmir,Türkiye, 2Ophthalmology,Giresun university School of Medicine,Giresun,Türkiye
Purpose
To evaluate the safety and refractive outcomes of immediate sequential bilateral cataract surgery (ISBCS) performed in a single tertiary eye center in Turkey.
Setting
retrospective single-center study
Methods
In this retrospective single-center study, 574 eyes of 289 patients who underwent immediate sequential bilateral phacoemulsification with intraocular lens implantation during the same operative session by two surgeons (DK, EU) were analyzed. Demographic characteristics, refractive outcomes, and intraoperative and postoperative complications were evaluated. Spherical equivalent (SE) was calculated preoperatively and postoperatively. Refractive predictability was assessed based on the proportion of eyes within ±0.50 D and ±1.00 D of target refraction.
Results
The mean age was 62.7 ± 10.7 years. The mean preoperative spherical equivalent was +1.86 D, improving to −0.12 ± 0.66 D postoperatively.
Postoperative refractive accuracy showed that 63.4% of eyes were within ±0.50 D and 87.1% were within ±1.00 D of target refraction.
No cases of posterior capsule rupture, vitreous loss, endophthalmitis, cystoid macular edema, retinal detachment, toxic anterior segment syndrome, or other sight-threatening complications were observed. Importantly, no bilateral sight-threatening complication occurred.
Conclusions
Immediate sequential bilateral cataract surgery (ISBCS) performed under strict aseptic separation protocols demonstrated excellent refractive predictability and extremely low complication rates in this Turkish single-center experience. ISBCS appears to be a safe and effective option in appropriately selected patients.