Ramsay A L, Diaper C J, Saba S N, Beirouty Z A, Fawzi H H
Department of Ophthalmology, Stobhill Hospital, Glasgow, United Kingdom.
J Cataract Refract Surg. 1999 Jun;25(6):753-62. doi: 10.1016/s0886-3350(99)00035-8.
To evaluate the visual outcome and safety of simultaneous bilateral cataract extraction.
Stobhill Hospital NHS Trust, Glasgow, United Kingdom.
This retrospective case review comprised 259 consecutive patients (518 eyes) who had simultaneous bilateral cataract surgery. Surgeries included bilateral extracapsular procedures, uniocular extracapsular procedures performed simultaneously with a different type of intraocular lens surgery in the other eye, and 1 bilateral intracapsular procedure. Outcome measures were postoperative best spectacle-corrected visual acuity (BSCVA), intraoperative and postoperative complication rates, and conjunctival swab culture results.
Eighty-three percent of patients (75% of eyes) with measured preoperative and postoperative BSCVA achieved an acuity of 6/12 or better. Intraoperative and postoperative complication rates were similar to those in previous reports of unilateral extracapsular surgery and simultaneous bilateral cataract surgery. Endophthalmitis occurred in 1 eye (0.19%). There were no bilateral complications that resulted in visual loss. Cultures were positive from 42% of conjunctival swabs; 81% of positive cultures were coagulase-negative Staphylococcus and 10% were Staphylococcus aureus.
Simultaneous bilateral cataract surgery did not lead to an increased incidence of serious intraoperative or postoperative complications, and visual acuity results were good.
评估双眼同时行白内障摘除术的视觉效果和安全性。
英国格拉斯哥斯托布希尔医院国民保健服务信托基金。
这项回顾性病例研究纳入了259例连续接受双眼同时白内障手术的患者（518只眼）。手术包括双眼囊外手术、一只眼行囊外手术同时另一只眼行不同类型人工晶状体手术，以及1例双眼囊内手术。观察指标为术后最佳矫正视力（BSCVA）、术中和术后并发症发生率以及结膜拭子培养结果。
术前和术后测量了BSCVA的患者中，83%（75%的眼）视力达到6/12或更好。术中和术后并发症发生率与既往单侧囊外手术和双眼同时白内障手术的报道相似。1只眼发生了眼内炎（0.19%）。没有导致视力丧失的双侧并发症。42%的结膜拭子培养呈阳性；81%的阳性培养物为凝固酶阴性葡萄球菌，10%为金黄色葡萄球菌。
双眼同时白内障手术并未导致术中和术后严重并发症的发生率增加，视力结果良好。
