Bilateral pseudomonas endophalmitis after immediately sequential bilateral cataract
            surgery

Arshinoff, Steve A.; Claoué, Charles; Mehta, Cyres; Johanssen, Bjorn

doi:10.5935/0004-2749.20190086

Cited by 3 publications

(3 citation statements)

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“…Nevertheless, no cases of bilateral endophthalmitis have been reported in which the proper aseptic technique had been followed, and the theoretical risk for simultaneous bilateral postoperative endophthalmitis with proper aseptic technique is estimated to be less than 1 in 100 000 000. 5,11 No case of bilateral TASS has ever been reported.…”

Section: Discussionmentioning

confidence: 99%

Unilateral toxic anterior segment syndrome after immediate sequential bilateral phakic intraocular lens implantation

Balparda

Silva-Quintero

Herrera-Chalarca

2022

JCRS Online Case Rep

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Introduction:The requirement to perform immediate sequential bilateral cataract surgery (ISBCS) is controversial. Most surgeons who do not adhere to this approach cite the possibility of bilateral complications occurring.Patient and Clinical Findings: A 35-year-old woman underwent bilateral implantation of phakic intraocular lenses the same day. She complained of pain and significantly decreased quality of vision in her right eye 12 hours postoperatively and was immediately examined. Physical examination of the right eye showed significant corneal edema extending from limbus to limbus and a dilated fixed pupil unresponsive to light.Diagnosis, Intervention, and Outcomes: Physical examination showed toxic anterior segment syndrome ensued in one eye. The complication was timely managed, preventing further damage to the eye. The contralateral eye showed no signs of complication.Conclusions: This case highlights that, when performed with utmost care, protocols designed to avoid bilateral occurrence of complications in same-day surgeries can work in the real-world settings. This is further evidence that ISBCS may not pose an additional risk to patients.

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Section: Discussionmentioning

confidence: 99%

Unilateral toxic anterior segment syndrome after immediate sequential bilateral phakic intraocular lens implantation

Balparda

Silva-Quintero

Herrera-Chalarca

2022

JCRS Online Case Rep

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“…When using published protocols and treating both eyes as separate surgical events, the likelihood of bilateral simultaneous endophthalmitis is exceedingly low. Reported cases have been the consequence of major breachs in sterile technique or otherwise substandard surgical techniques [ 13 ]. Interestingly, US surgeons have less concern regarding the importance of endophthalmitis than their European counterparts ( p =0.006), yet European surgeons are still greater than 2.5 times more likely to perform ISBCS.…”

Section: Discussionmentioning

confidence: 99%

“…Numerous reports in both the US and abroad have demonstrated the safety and e cacy of ISBCS [6,7]. Safety concerns include risk for bilateral endophthalmitis, bilateral toxic anterior segment syndrome (TASS), and inability to re ne lens implant calculations for the fellow eye [8,9], but these concerns have largely not been supported by ndings in the literature when proper protocols are used [10][11][12][13]. Patient bene ts from ISBCS include more rapid binocular vision recovery, a decreased number of office visits, and a decreased amount of travel time, whereas the healthcare system benefits from decreased costs [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Immediate Sequential Bilateral Cataract Surgery: Opinions among Refractive Surgeons in the United States and a Comparative Analysis with European Consultants

Rush

Criado

Kezirian³

et al. 2022

Journal of Ophthalmology

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Purpose. To analyze the perspectives of practicing refractive surgeons regarding the implementation of Immediate Sequential Bilateral Cataract Surgery (ISBCS) in the United States (US) and to compare their perspectives with those of European colleagues. Setting. Online refractive surgery forum. Design. A survey-based questionnaire. Methods. An electronic survey was emailed to all surgeon members of the Refractive Surgery Alliance (RSA) in the US. Participants were prompted to score their impressions regarding various aspects regarding ISBCS. Responses were compared to published reports conducted among European surgeons. Results. The electronic link to the survey was emailed to US-based surgeon members of the RSA, where 107 participated (44.6%). Twenty-seven (25.2%) reported that they currently perform ISBCS. Twenty-three (22.5%) of the respondents indicated they felt ISCBCS should be offered as a standard of care for routine cataract surgery. For surgeons that do not perform ISBCS, the most important factors were related to medicolegal issues and decreased reimbursement, whereas evidence of effectiveness and complications related to ISBCS were less important. Compared to practitioners abroad, 67.2% of European ophthalmic surgeons, compared to 25.2% of US surgeons, perform ISBCS ( p < 0.0001 ). Conclusions. While US refractive surgeons often perform bilateral corneal procedures, many significant barriers exist to the widespread adoption of ISBCS. Concerns reported by US surgeons mirror those reported by surgeons in Europe. The majority of the US refractive surgeons in this survey indicate that ISBCS should not be the standard of care in routine cases, with the prevailing reason being concerns about decreased physician reimbursement and potential medicolegal issues, not safety.

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Immediate sequential bilateral surgery versus delayed sequential bilateral surgery for cataracts

Dickman

Spekreijse

Winkens

et al. 2022

Cochrane Database of Systematic Reviews

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Bilateral pseudomonas endophalmitis after immediately sequential bilateral cataract surgery

Cited by 3 publications

References 0 publications

Unilateral toxic anterior segment syndrome after immediate sequential bilateral phakic intraocular lens implantation

Unilateral toxic anterior segment syndrome after immediate sequential bilateral phakic intraocular lens implantation

Immediate Sequential Bilateral Cataract Surgery: Opinions among Refractive Surgeons in the United States and a Comparative Analysis with European Consultants

Immediate sequential bilateral surgery versus delayed sequential bilateral surgery for cataracts

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