Comments on: Terminology for bilateral cataract surgeries http://isbcs.org/2009/06/terminology-for-bilateral-cataract-surgeries/ The Simultaneous Bilateral Cateract Surgery Article Repository Sun, 01 Aug 2010 06:10:57 +0000 http://wordpress.org/?v=2.6 By: BjornJ http://isbcs.org/2009/06/terminology-for-bilateral-cataract-surgeries/#comment-1336 BjornJ Sat, 04 Jul 2009 21:44:12 +0000 http://isbcs.org/?p=442#comment-1336 Thanks Steve for kind acknowledgement - actually I stole the expression (with pride, but still) from an article in Acta Ophthalmologica by Mats Lundström et al on the benefits of ISBCS. Previously I was using "same day bilateral surgery", as we initially separated the two surgeries by letting another patient in the OR between. This was made in order to emphasize to all staff that the surgeries were totally separate, but of course decreased the logistical advantages in the operation unit. Soon true ISBCS was done instead. DSBCS can be the best way of handling some patients, of course. Still, in my practice I see a lot of patients referred by other ophthalmologists and surgeons, where the plan is "first one eye, and when that is done let's remove the cataract in the other eye soon...". In cases with no contraindications against ISBCS I feel sorry for the patient, who actually has quality of life taken away from him/er, for the time passing between the two operations. But I am probably kicking in open doors in this forum :-) Cheers Björn Thanks Steve for kind acknowledgement - actually I stole the expression (with pride, but still) from an article in Acta Ophthalmologica by Mats Lundström et al on the benefits of ISBCS. Previously I was using “same day bilateral surgery”, as we initially separated the two surgeries by letting another patient in the OR between. This was made in order to emphasize to all staff that the surgeries were totally separate, but of course decreased the logistical advantages in the operation unit. Soon true ISBCS was done instead.

DSBCS can be the best way of handling some patients, of course. Still, in my practice I see a lot of patients referred by other ophthalmologists and surgeons, where the plan is “first one eye, and when that is done let’s remove the cataract in the other eye soon…”. In cases with no contraindications against ISBCS I feel sorry for the patient, who actually has quality of life taken away from him/er, for the time passing between the two operations. But I am probably kicking in open doors in this forum :-)

Cheers
Björn

]]>