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Br J Ophthalmol 85:1489-1496 doi:10.1136/bjo.85.12.1489
  • Perspective

Is it time for a new attitude to “simultaneous” bilateral cataract surgery?

Table 3

The estimated risk of simultaneous bilateral complications in otherwise uncomplicated surgery

Risk estimate Eyes are independent Eyes are not independent
First eye Second eye Either eye Both eyes Second eye Either eye Both eyes
(A) Expulsive haemorrhage
 Upper limit29 1 in 833 1 in 833 1 in 417 1 in 694 000 1 in 6.5 1 in 6.4 1 in 5400
 Lower limit28 1 in 7692 1 in 7692 1 in 3846 1 in 60 000 000 1 in 6.5 1 in 6.5 1 in 50 000
(B) Bacterial endophthalmitis
 Upper limit47 1 in 555 1 in 555 1 in 278 1 in 308 000 1 in 84 1 in 73 1 in 46 600
 Lower limit39 1 in 2141 1 in 2141 1 in 1072 1 in 4 580 000 1 in 84 1 in 81 1 in 180 000
(C) Fungal endophthalmitis
 1990s 1 in 4.62×106 1 in 4.62×106 1 in 2.31×106 1 in 2.13×1013 1 in 32 1 in 32 1 in 1.20×108
  • Based on ICCE rate.28

  • Somani et al.47

  • Derived from 33 cases of published fungal endophalmitis following an estimated 120 million cataract extractions in the USA in the 1990s.18 45 47 55 56 58-63 65-68

  • Weissgold et al. 67

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