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Review
. 2016 Oct-Dec;30(4):244-249.
doi: 10.1016/j.sjopt.2016.09.001. Epub 2016 Sep 28.

Pros and cons of immediately sequential bilateral cataract surgery (ISBCS)

Andrzej Grzybowski  1 , Weronika Wasinska-Borowiec  2 , Charles Claoué  3
Affiliations
Review

Pros and cons of immediately sequential bilateral cataract surgery (ISBCS)

Andrzej Grzybowski et al. Saudi J Ophthalmol. 2016 Oct-Dec.

Abstract

Immediately sequential bilateral cataract surgery (ISBCS) is currently a "hot topic" in ophthalmology. There are well-documented advantages in terms of quicker visual rehabilitation and reduced costs. The risk of bilateral simultaneous endophthalmitis and bilateral blindness is now recognized to be minuscule with the advent of intracameral antibiotics and modern management of endophthalmitis. Refractive surprises are rare for normal eyes and with the use of optical biometry. Where a general anesthetic is indicated for cataract surgery, the risk of death from a second anesthetic is much higher than the risk of blindness. A widely recognized protocol from the International Society of Bilateral Cataract Surgeons needs to be adhered to if surgeons wish to start practicing ISBCS.

Keywords: Advantages and disadvantages; Immediately sequential bilateral cataract surgery; Simultaneous bilateral cataract surgery.

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