Emmetropia: Why we should do immediately sequential bilateral cataract surgery

• Autores: Steve A. Arshinof
• Localización: Journal of Emmetropia: Journal of Cataract, Refractive and Corneal Surgery, ISSN-e 2171-4703, Vol. 1, Nº. 1, 2010, págs. 16-22
• Idioma: inglés
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• Resumen

  • PURPOSE: To research and discuss the reasoning behind the performance of immediately sequential bilateral cataract surgery (ISBCS) in the context of achieving emmetropia and visual restoration.

    SETTING: York Finch Eye Associates, Toronto, Canada METHODS: A literature review of pertinent articles and books relevant to visual function and bilateral cataract surgery. The website of the International Society of Bilateral Cataract Surgeons (ISBCS) was also reviewed.

    RESULTS: The logic of human destiny and progress dictates that we will move to ISBCS to achieve better restoration of vision than achievable with delayed sequential bilateral cataract surgeries (DSBCS). ISBCS restores the visual system, whereas DSBCS can be an impediment to binocularity. Caution is required in moving to ISBCS, and reasonably strict protocols should be observed. The additional cost of performing DSBCS to a health care system is unacceptable for the miniscule additional risk of ISBCS.

    DISCUSSION: As we move to ever more predictable surgical results, routinely achieving emmetropia, monovision, multifocality or pseudoaccomodation, the further enhancement of our surgeries with ISBCS is often perceived by the patient as the greatest of all recent advances in cataract surgery