Practice of immediate sequential bilateral cataract surgery (ISBCS) since COVID-19: a patient and surgeon survey

Wang, Haoyu; Ramjiani, Vipul; Raynor, Mathew C.; Tan, Jennifer

doi:10.1038/s41433-021-01521-1

Cited by 18 publications

(15 citation statements)

References 3 publications

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“…The spread of the COVID-19 pandemic was a turnover point at which the rate of ISBCS procedures increased compared to DSBCS. To reduce the number of hospital visits and mitigate the risk of SARS-CoV-2 infection, many ophthalmology centers started offering patients the immediate bilateral procedure, as associated with a lower risk of the virus transmission, and the response was generally positive [ 15 , 16 , 17 ]. ISBCS was introduced to our clinic in 2019 after the procedure started being reimbursed by the National Health Service in Poland.…”

Section: Discussionmentioning

confidence: 99%

Pros and Cons of Immediate Sequential Bilateral Cataract Surgery from a Patient Perspective: A Survey

Obuchowska

Micun

Młynarczyk

et al. 2023

IJERPH

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The aim of the study was to analyze patients’ experiences with immediate sequential bilateral cataract surgery (ISBCS). An anonymous survey was sent by post to patients who underwent ISBCS between 1 May 2020 and 30 April 2022. A total of 195 participants completed the survey. Specifically, 94.6% of the respondents were satisfied with the possibility of having both eyes treated during one surgical procedure, 89.7% would choose ISBCS again if offered a choice, and 89.2% would recommend this procedure to their family members. ISBCS provided a subjective benefit for 84.6% of the respondents. The most commonly reported ISBCS-related problems were the necessity to sleep in a supine position (32.8%), inability to read shortly after the surgery (27.7%), having both eyes protected with a dressing (24.6%), and application of eyedrops to both eyes at the same time (17.4%). All patients were able to identify some pros of ISBCS, with the most common being single stay in the operating room (82.6%), lower number of visits to the clinic (62.6%), quick normalization of eyesight (61%), time savings for family members (54.9%), quick adjustment of reading glasses (32.3%), and economical aspects (23.6%). The perception of difficulties associated with ISBCS and the benefits offered by this procedure differed depending on patients’ gender, age, marital status, education, place of residence, occupational activity, level of care dependence, and everyday activities. Understanding patients’ opinions about ISBCS provides insight into the advantages and disadvantages of this procedure from a broader perspective.

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Section: Discussionmentioning

confidence: 99%

Pros and Cons of Immediate Sequential Bilateral Cataract Surgery from a Patient Perspective: A Survey

Obuchowska

Micun

Młynarczyk

et al. 2023

IJERPH

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“…The Royal College of Ophthalmologists and the UK and Ireland Society of Cataract and Refractive Surgery jointly recommended more ISBCS in suitable patients to streamline cataract services 21 and reduce the risk of COVID‐19 transmission in hospital 22,29 . One NHS hospital which published their ISBCS figures found an increase from 0.36% in the 5 years before COVID‐19 to 3.05% in the 6 months following the reopening of cataract services after closure due to the pandemic 30 . It is evident that current cataract services will have to evolve due to the ageing population in the UK 31 .…”

Section: Discussionmentioning

confidence: 99%

Developing refractive management recommendations for patients undergoing cataract surgery: A Delphi study

Charlesworth

Ursell²,

et al. 2022

Ophthalmic Physiologic Optic

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“…[ 19 20 ] In providing care for elective surgeries and clearing the backlog of surgeries that arouse due to lockdown, eye care facilities have been modified both structurally and functionally to provide safe service. [ 4 17 18 21 22 23 24 25 26 27 ] Apart from several general modifications in the clinical and surgical setting, a few major impactful modifications have been the use of teleconsultation services and immediate sequential bilateral cataract surgery that minimizes post-operative visits. [ 4 5 23 ] Despite all the safety protocols in place, there was a very gradual increase in the number of patients opting for care in our setting.…”

Section: Discussionmentioning

confidence: 99%

“…[ 4 17 18 21 22 23 24 25 26 27 ] Apart from several general modifications in the clinical and surgical setting, a few major impactful modifications have been the use of teleconsultation services and immediate sequential bilateral cataract surgery that minimizes post-operative visits. [ 4 5 23 ] Despite all the safety protocols in place, there was a very gradual increase in the number of patients opting for care in our setting. In our network of hospitals, it took approximately 5 months from the lockdown date to surpass the pre-COVID-19 surgical numbers.…”

Section: Discussionmentioning

confidence: 99%

“…Earlier studies have shown that visual outcomes and complications of the cataract surgery procedures during the pandemic have been comparable to those performed before the pandemic. [ 23 30 ] Majority of patients who had the surgery have been happy with their decision of having the surgery and satisfied with safety protocols followed by the surgical center. [ 30 ]…”

Section: Discussionmentioning

confidence: 99%

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Year one of COVID-19 pandemic: Effect of lockdown and unlock phases on cataract surgery at a multi-tier ophthalmology network

Das

Reddy

2021

Indian Journal of Ophthalmology

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Purpose: To describe the impact of lockdown and unlock phases of the COVID-19 pandemic on cataract surgery at a multitier ophthalmology network. Methods: This cross-sectional hospital-based study included 106,279 eyes operated between March 23, 2019 and March 31, 2021. The data of patients who underwent cataract surgery presenting during the lockdown and unlock phases were compared with the respective periods in the previous year before COVID-19. Results: The cataract surgeries performed decreased to 5.6% (839/14,994) of pre-COVID-19 volumes during the lockdown phase. There was a gradual recovery of the cataract surgeries performed to 86.7% of pre-COVID-19 volumes by May 2020 and exceeded by 17.9% by September 2020. There was a decrease in the number of women who underwent cataract surgery during the lockdown phase (49.11%) compared to the pre-COVID-19 (52.59%) or unlock phase (52.29%, P < 0.001). Patients operated during the lockdown phase were younger when compared to other groups ( P < 0.001). The mean LogMAR presenting visual acuity at the time of surgery was worse in patients operated during the lockdown phase (1.84 ± 1.16) as compared to pre-COVID-19 (1.39 ± 1.05) and unlock phases (1.51 ± 1.08, P =<0.001). The proportion of patients with total cataracts were higher during the lockdown and unlock phases compared to the pre-COVID-19 phase ( P < 0.001). Conclusion: The first year of the COVID-19 pandemic saw a drastic reduction in the surgical volume in the lockdown phase, which recovered quickly during the unlock period. Patients of younger age, male gender, poor presenting visual acuity, denser cataracts, and living close to the surgical center were able to access surgical care due to lockdown restrictions.

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Practice of immediate sequential bilateral cataract surgery (ISBCS) since COVID-19: a patient and surgeon survey

Cited by 18 publications

References 3 publications

Pros and Cons of Immediate Sequential Bilateral Cataract Surgery from a Patient Perspective: A Survey

Pros and Cons of Immediate Sequential Bilateral Cataract Surgery from a Patient Perspective: A Survey

Developing refractive management recommendations for patients undergoing cataract surgery: A Delphi study

Year one of COVID-19 pandemic: Effect of lockdown and unlock phases on cataract surgery at a multi-tier ophthalmology network

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