Cirugía de catarata bilateral secuencia e inmediata
- J.L. Alio 26
- M. Gessa-Sorroche 35
- A. Nowrouzi 14
- M.J. Maldonado 7
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1
Hospital de Jerez
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2
Universidad Miguel Hernández de Elche
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- 3 Unidad de córnea, catarata y cirugía refractiva, Clínica Miranza Virgen de Luján, Sevilla, España
- 4 Clinical Research Fellow, Vissum, Grupo Miranza, Alicante, España
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5
Hospital Universitario Virgen Macarena
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6
Instituto Oftalmologico de Alicante
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Instituto Oftalmologico de Alicante
Alicante, España
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7
Universidad de Valladolid
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ISSN: 0365-6691
Year of publication: 2022
Volume: 97
Issue: 7
Pages: 402-408
Type: Article
More publications in: Archivos de la Sociedad Española de Oftalmologia
Abstract
Purpose There is a constant controversy between performing cataract surgery for one eye or for both eyes in the same surgical session. The objective of this study is to review the scientific evidence on the efficacy and safety, determine the reduction of costs of sequential bilateral cataract surgery on the same day compared to unilateral cataract surgery, as well as to compare the rate of associated complications. Methods A comprehensive search of the PubMed and Web of Science databases has been conducted to identify relevant articles on sequential bilateral cataract surgery from 2000 to 31 of December of 2020. Results Literature shows that there is strong evidence demonstrating the efficacy and safety of same-day sequential bilateral cataract surgery. Studies have not found a higher rate of postoperative complications compared to unilateral cataract surgery. Conclusions Same-day sequential bilateral cataract surgery is a good surgical option for the resolution of the cataract, provides rapid visual rehabilitation and without greater risks than unilateral surgery. It also provides a reduction in sanitary costs. There is a psychological fear of performing bilateral surgery due to the potential risk of complications that would affect both operated eyes. In this article we discuss the efficacy, safety, complications rate and associated costs in sequential bilateral cataract surgery in the same surgical act.