Worse results for immediate sequential bilateral cataract surgery

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(HealthDay): Immediate sequential bilateral cataract surgery (ISBCS) is associated with worse visual outcomes compared to late sequential bilateral cataract surgery (DSBCS-14) with short intervals (DSBCS-14) and long intervals (15 to 90 days)) DSBCS (DSBCS-90), according to a study published online on June 30 in JAMA Ophthalmology.

Julia P. Owen, Ph.D., of the University of Washington in Seattle, and colleagues compared the refractive results of 1,824,196 patients with bilateral visual acuity measurement who underwent bilateral surgery in a retrospective cohort study. Participants were classified into three groups: ISBCS, DSBCS-14, and DSBCS-90.

The researchers found that after controlling for age, race , history of age-related macular degeneration, , and glaucoma, compared to the DSBCS-90 group, the uncorrected visual acuity (UCVA) of the first surgical eye was 0.41 letters higher and the best corrected visual acuity (BCVA) was 0.89 letters superior to the DSBCS-14 group; UCVA and BCVA were 2.79 and 1.64 letters lower, respectively, in the ISBCS group. For the second eye, the DSBCS-14 and ISBCS groups had UCVA and BCVA which were 0.79 and 0.48 letters higher and 1.67 and 1.88 letters lower, respectively, compared to the DSBCS-90 group. .

“Unexpectedly, the DSBCS-14 group had similar but better results that were statistically significant compared to the DSBCS-90 group, ”the authors write.

One author revealed financial links with the pharmaceutical and medical device industry.


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