Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Nov 22;107(12):1782-1786.
doi: 10.1136/bjo-2021-320588.

Immediate sequential bilateral cataract surgery: a 13-year real-life report of 56 700 cataract operations

Pekko Hujanen  1   2 , Anu Vaajanen  1   2 , Tuukka Felin  1   2 , Eemil Lehtonen  1   2 , Ulla Syvänen  1 , Heini Huhtala  3 , Mika Helminen  3   4 , Harri Sintonen  5 , Anja Tuulonen  1 , Hannele Uusitalo-Järvinen  6   2
Affiliations

Immediate sequential bilateral cataract surgery: a 13-year real-life report of 56 700 cataract operations

Pekko Hujanen et al. Br J Ophthalmol. .

Abstract

Background/aims: To assess the frequency of immediate sequential bilateral cataract surgery (ISBCS) and endophthalmitis during 13-year period in Tays Eye Centre, Tampere University Hospital, Tampere, Finland.

Methods: All cataract surgeries performed between 1 January 2008 and 31 December 2020, and all endophthalmitis cases during the same period were searched from electronic patient records. Numbers and frequencies of ISBCS, and complications, including endophthalmitis and vitreous loss, were recorded and compared with unilateral operations.

Results: The study included 56 700 cataract surgeries in 34 797 patients of whom 39% (n=13 445) had ISBCS. The median age of the patients was 75 (IQR 68-80, range 0.08-99) years at the time of surgery. The proportion of ISBCS patients increased from 4.2% in 2008 to 46% in 2020. Vitreous loss occurred in 480 (0.9%) of cataract surgeries. There were no postoperative endophthalmitis after cataract surgery (n=0) during the 13-year period.

Conclusion: The proportion of patients undergoing ISBCS increased from 4.2% in 2008 to 46% in 2020. No endophthalmitis were found to be associated with ISBCS.

Keywords: Infection; Lens and zonules; Treatment Surgery.

PubMed Disclaimer

References

    1. Arshinoff SA, Odorcic S. Same-day sequential cataract surgery. Curr Opin Ophthalmol. 2009;20:3–12. doi: 10.1097/ICU.0b013e32831b6daf. - DOI - PubMed
    1. Malvankar-Mehta MS, Chen YN, Patel S, et al. Immediate versus delayed sequential bilateral cataract surgery: a systematic review and meta-analysis. PLoS One. 2015;10:e0131857. doi: 10.1371/journal.pone.0131857. - DOI - PMC - PubMed
    1. Leivo T, Sarikkola A-U, Uusitalo RJ, et al. Simultaneous bilateral cataract surgery: economic analysis; Helsinki simultaneous bilateral cataract surgery study report 2. J Cataract Refract Surg. 2011;37:1003–8. doi: 10.1016/j.jcrs.2010.12.050. - DOI - PubMed
    1. Endophthalmitis Study Group. European Society of Cataract & Refractive Surgeons Prophylaxis of postoperative endophthalmitis following cataract surgery: results of the ESCRS multicenter study and identification of risk factors. J Cataract Refract Surg. 2007;33:978–88. doi: 10.1016/j.jcrs.2007.02.032. - DOI - PubMed
    1. Bowen RC, Zhou AX, Bondalapati S, et al. Comparative analysis of the safety and efficacy of intracameral cefuroxime, moxifloxacin and vancomycin at the end of cataract surgery: a meta-analysis. Br J Ophthalmol. 2018;102:1268–76. doi: 10.1136/bjophthalmol-2017-311051. - DOI - PMC - PubMed

Publication types