AI Article Synopsis
- The study examines current practices of immediate sequential bilateral cataract surgery (ISBCS) among Italian ophthalmologists and their future attitudes toward it.
- A multicenter survey was conducted with 246 of 2300 invited participants, revealing that 63.4% perform ISBCS, mostly on an occasional basis, with over half interested in making it routine.
- The main advantages for ISBCS were identified as procedure efficiency and patient benefits, while concerns over risks like bilateral endophthalmitis and legal issues hinder broader adoption.
Article Abstract
Purpose: to investigate the existing practice patterns of immediate sequential bilateral cataract surgery (ISBCS) in Italy and to assess ophthalmologists' attitudes towards performing ISBCS in the future for cataract treatment.
Methods: It is a multicenter cross-sectional study. From February,1 2023 to March, 1 2023 the Members of the Italian Society of Cataract and Refractive Surgery (AICCER) as well as the attendees of its annual national congress were invited to anonymously complete an electronic 7-item questionnaire on their current ICBCS practice. Questions included the average number of procedures per month, the main indications for ICBCS, and the main reasons for performing and not performing ISBCS. Data were analyzed using descriptive statistics.
Results: of the 2300 recipients, 246 (10.7%) completed the survey. Of the respondents, 156 (63.4%) replied to perform ISBCS, most of them (82%) occasionally (1 to 5 procedures per month). Fifty-three percent (130 ophthalmologists) considered adopting ISBCS as routine practice in the near future. The conditions most considered for ISBCS were age-related cataract surgery under general and topical anesthesia and congenital cataract surgery. The availability of separate instruments for the two eyes as well as patient and hospital advantages were the most important reasons for performing ISBCS. The risk of bilateral endophthalmitis and medicolegal issues were the main reasons for not performing ISBCS.
Conclusions: ISBCS remains controversial among Italian surgeons, despite growing evidence of its safety and efficacy. The risk of potentially blinding complications such as bilateral endophthalmitis, together with medicolegal concerns are the principal barriers to ISBCS implementation in routine practice.
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| http://dx.doi.org/10.1177/11206721241272156 | DOI Listing |
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