Simultaneous Bilateral Cataract Surgery in Phacomorphic Glaucoma SuVi Eye Institute Kota, India mpg скачать в хорошем качестве

Simultaneous Bilateral Cataract Surgery in Phacomorphic Glaucoma SuVi Eye Institute Kota, India mpg

In this video, Dr Suresh K Pandey & Dr Vidushi Sharma, Eye Surgeons of SuVi Eye Institute & Research Center (www.suvieye.com), Kota, India shares pearls for simultaneous bilateral cataract surgery in a 56 years old female presented with phacomorphic glaucoma. Simultanous bilateral cataract surgery remains controversial (due to possible threat of endophthalmitis), and is rarely performed in routine cataract cases. The potential advantages of Simultanous Bilateral Cataract Surgery (SBCS) are not insignificant. There are special circumstances, such as long standing cataract cases presenting with raised intraocular pressure (phacomorphic/phacolytic glaucoma) in one or both eyes, transportation problems or the need for general anaesthesia (children), where subsequent second eye surgery might not otherwise be possible. With Simultanous bilateral cataract surgery, patients with high hyperopia or myopia would be spared the frustration of considerable interim anisometropia. By focusing on clinical outcomes, physicians often underestimate the emotional stress or physical hardship that outpatient surgery and the postoperative period entail for certain patients. For these individuals, eliminating the second separate encounter may be particularly desirable. Finally, all patients experience a faster return to full visual function and their final refraction following uncomplicated Simultanous bilateral cataract surgery, when compared to two sequential procedures.In any healthcare system where limited resources (such as in our country India) may impose rationing or lengthy delays in elective surgery, this might be the best way to safely extend the benefits of cataract surgery to as many eyes as possible. From a logistical standpoint, SBCS significantly reduces the time spent by patients and medical staff in the overall process. There are fewer postoperative visits, reduced administrative paperwork, less temporary disability and missed work, and reduced reliance on the support of family or friends. In this regard, the true economic savings of SBCS extend beyond the cost of the second surgical facility fee. For simultaneous bilateral cataract surgery, the patients must have bilateral symptomatic cataracts, must be well informed about all possible risks, and must desire bilateral surgery on the same day. Patients felt to be at high risk of intraoperative complications are not given this option, and the planned second surgery is not performed in the event of intraoperative complications with the first eye. To the list of poor candidates for SBCS, are those at risk of early postoperative complications (for example, uveitis and poorly controlled glaucoma), those at risk of delayed visual recovery (for example, patients with Fuchs' corneal dystrophy), and those at greater risk for refractive surprise (for example, post-LASIK patients).Given the state of modern cataract surgery, simultaneous bilateral cataract surgery would seem to be a logical option for experienced surgeons to offer to selected patients. The patient's primary motivation may be functional, emotional, logistical, or economic. The collective literature seems to support the safety of this approach when strict, conservative protocols are followed. In any healthcare system where limited resources may impose rationing or lengthy delays in elective surgery, SBCS might be the best way to safely extend the benefits of cataract surgery to as many eyes as possible. As a result on on going innovations in the field of micro-incision cataract surgery and foldable intraocular lenses (IOLs) —topical anaesthesia, sutureless surgery needing 1.8 mm to 2.2 mm incisions, availability of intracameral antibiotics (Vigamox, ALCON LAB) and the elimination of patching and physical restrictions—have now become commonplace. In this progression towards ever faster rehabilitation, simultaneous bilateral cataract surgery may be the next and ultimate step in selected cases. Contact Details: Dr. Suresh K Pandey, MS (PGIMER), ASF (USA) Dr. Vidushi Sharma, MD (AIIMS), FRCS (UK) SuVi Eye Institute & Research Centre, Kota, Rajasthan, India Phone +91 744 2433575, +91 9351412449 E-mail: [email protected], www.suvieye.com #DrSureshKPandeyKota #SuViEyeHospitalKota #DrVidushiSharma #iol #ophthalmology #cataract #eye #suvieyehospitallasiklasercenterkota #cataractsurgery #eyedoctor #ophthalmologist #eyesurgery #cornea #eyes #phacoemulsification #g #glaucoma #oftalmologia #intraocularlens #optometry #lens #surgery #phaco #eyesurgeon #doctor #eyecare #vision #catarata #retina #medicine #ll #lasik #ophthalmicphotography #multifocal