Benefits and risks of immediately sequential cataract surgery (ISCS)
| Benefits | ||
|---|---|---|
| To the patient | • One general anaesthetic, where required, for surgery | |
| • Improved visual function | ||
| • One step visual rehabilitation | ||
| • No anisometropia between operations | ||
| • One pair of new glasses | ||
| • Fewer hospital visits | ||
| To the hospital | • Only one preassessment visit | |
| • Only one admission for surgery | ||
| • More efficient use of theatre time | ||
| • More efficient use of clinic | ||
| To society | • Shorter waiting lists for surgery and clinics | |
| • Accompanying friends and relatives take less time off work | ||
| • Less demand on hospital transport services | ||
| Risks | ||
| First eye intraoperative complications result in unilateral surgery | • Vitreous exposure | |
| • Suprachoroidal haemorrhage | ||
| Bilateral early postoperative complications | • Endophthalmitis | |
| • Hyphaema | ||
| • Raised IOP | ||
| • Iris prolapse | ||
| Bilateral late postoperative complications | • Cystoid macular oedema | |
| • Refractive surprise | ||
| • Epithelial ingrowth | ||
| • Corneal decompensation | ||
| • Fungal endophthalmitis | ||
↵Catastrophic complications.