© 2003 BMJ Publishing Group
EDITORIAL
Cataract surgery
Simultaneous bilateral cataract surgery
University of California, San Francisco, CA, USA; dceye@earthlink.net
An idea whose time has come?
Keywords: cataract surgery
| The first 150 words of the full text of this article appear below. |
During the past decade, advances in techniques and technology have led to major changes in cataract surgical practice patterns. The complete transition from large incision extracapsular cataract extraction (ECCE) to phacoemulsification was driven by the ability to accelerate the visual and physical rehabilitation of cataract patients. The subsequent innovations of foldable intraocular lenses (IOLs) and small, clear corneal incisions followed. As a result, previously unimaginable practices—topical anaesthesia, sutureless surgery, and the elimination of patching and physical restrictions—have now become commonplace. In this progression towards ever faster rehabilitation, simultaneous bilateral cataract surgery (SBCS) may be the next and ultimate step.
As evidenced in a consultation forum involving international experts in 1997, simultaneous bilateral cataract surgery remains controversial, and is rarely performed in the United States.1 In fact, the recently updated American Academy of Ophthalmology Preferred Practice Pattern (Rev 2001) states that "Surgery should not be routinely performed in both
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