Ophthalmic Consultants of Boston, Boston, Massachusetts, USA.
Surv Ophthalmol. 2012 Nov;57(6):580-3. doi: 10.1016/j.survophthal.2012.05.001. Epub 2012 Sep 18.
Benefits of sequential surgery include assessment of the outcome of the first surgery to tailor the surgical technique, intraocular lens (IOL) power, and choice of IOL for the second surgery. Additionally, recovery may be prolonged from corneal edema, anterior chamber inflammation, or cystoid macular edema. Allowing the patient to maintain visual function in one eye during the recovery of the other eye can be important. Therefore, the few benefits of simultaneous surgery are greatly outweighed by risks of bilateral complications, inability to foresee refractive outcome, inability to alter IOL choice, potential loss of physician reimbursement, and possible increased legal ramifications.
分期手术的好处包括评估第一次手术的结果，以便调整手术技术、人工晶状体（IOL）度数和第二次手术的 IOL 选择。此外，由于角膜水肿、前房炎症或囊样黄斑水肿，恢复可能会延长。让患者在另一只眼睛恢复期间保持一只眼睛的视力功能可能很重要。因此，同期手术的少数好处远远超过了双侧并发症的风险、无法预测屈光结果、无法改变 IOL 选择、潜在的医生报销损失和可能增加的法律后果。
