Simultaneous bilateral cataract extraction.

Abstract

PURPOSE:

To assess the visual outcome and safety of simultaneous bilateral cataract extraction.

SETTING:

Department of Ophthalmology, Queen's Hospital, Burton on Trent, Staffordshire, United Kingdom.

METHODS:

Simultaneous bilateral cataract extraction was performed in 288 eyes of 144 patients over 10 years in a single department in selected cases. Case notes were retrospectively analyzed for final best corrected visual acuity (BCVA) and intraoperative and postoperative complication rates.

RESULTS:

The final BCVA was 6/9 or better in 87.0% of eyes. The incidence of intraoperative complications was 2.42%. These included posterior capsule rupture without vitreous loss (0.69%) and with vitreous loss (1.04%). Postoperative complications occurred in 10.05% of eyes and included raised intraocular pressure (IOP) (3.82%), iris prolapse (0.69%), uveitis (0.69%), and suture abscess (0.35%). There were no major bilateral complications such as endophthalmitis or corneal decompensation.

CONCLUSION:

The outcome of simultaneous bilateral cataract extraction was comparable to that of single-eye cataract surgery, indicating that the procedure is safe under strict surgical protocol and beneficial in selected cases.

• Authors: T K Sharma, T Worstmann
• Journal: Journal of cataract and refractive surgery (J Cataract Refract Surg) Vol. 27 Issue 5 Pg. 741-4 (May 2001) ISSN: 0886-3350 [Print] United States
• PMID: 11377906 (Publication Type: Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Cataract Extraction (methods)
• Female
• Humans
• Intraoperative Complications
• Male
• Middle Aged
• Postoperative Complications
• Retrospective Studies
• Safety
• Treatment Outcome
• Visual Acuity (physiology)