Cholevík D, Timkovič J, Němčanský J, Mašek P, Šalounová D
Cesk Slov Oftalmol. 2015 Jan;71(1):3-14.
Effectiveness Evaluation of One-Day Simultaneous Bilateral Cataract Surgery (SBCS) Comparing to the Cataract Surgery Performed on Each Eye Separately After a Lapse of Time.
The cohort of 100 patients (200 eyes) consisted of two groups: In the Group1, there were 50 patients (100 eyes) who underwent One-day Simultaneous Bilateral Cataract Surgery (SBCS). The Group 2 consisted 50 patients (100 eyes) who had the surgery on one eye first, and later on the fellow eye. The course of the surgery, peroperative and postoperative complications were evaluated. The patients from the Group 1 were examined at the first postoperative day. In the next course, all patients were examined one week, one month, and 3 months after the surgery. In the postoperative phase were, besides the complications, the final visual acuity and refraction and its deviations from the target refraction followed up.
Course of the surgery, peroperative and postoperative complications are comparable in both groups. Endophthalmitis, or other more serious postoperative complications did not appear in either group. Three months after the surgery, the uncorrected visual acuity (UCVA) 0.8 and better in the Group 1 had 75 % of patients, and in the Group 2 also 75 % of patients. The UCVA 0.5 and better in the Group 1 had 95 % of patients; in the Group 2 it had 90 % of patients. The best-corrected visual acuity 0.8 and better had in both groups 95 % of patients. The final refraction after 3 months in the Group 1 was -0.15 ± 0.91 (-0.12); -3.37; 2.00. In the Group 2 the final refraction after 3 months was -0.08 ± 0.91 (0.00); -3.25; 2.75.
The results are showing that both groups of our cohort are comparable. The One-Day Simultaneous Bilateral Cataract Surgery (SBCS) is, from the surgical point of view, equally safe and effective as classically performed cataract surgery.Key words: One-Day Simultaneous Bilateral Cataract Surgery (SBCS), refraction, visual acuity, postoperative complications, intraocular pressure.
一日双侧白内障同期手术（SBCS）与分阶段单眼白内障手术效果的评估比较。
100例患者（200只眼）分为两组：第一组50例患者（100只眼）接受一日双侧白内障同期手术（SBCS）；第二组50例患者（100只眼）先进行一只眼的手术，之后再进行另一只眼的手术。评估手术过程、术中及术后并发症。第一组患者在术后第一天接受检查，接下来所有患者在术后一周、一个月和三个月接受检查。术后阶段，除了并发症外，还对最终视力、屈光度及其与目标屈光度的偏差进行随访。
两组患者的手术过程、术中及术后并发症相当。两组均未出现眼内炎或其他更严重的术后并发症。术后三个月，第一组75%的患者未矫正视力（UCVA）达到0.8及以上，第二组也有75%的患者达到该水平。第一组95%的患者UCVA达到0.5及以上，第二组为90%。两组95%的患者最佳矫正视力达到0.8及以上。第一组术后三个月的最终屈光度为-0.15±0.91（-0.12）；-3.37；2.00。第二组术后三个月的最终屈光度为-0.08±0.91（0.00）；-3.25；2.75。
结果表明我们队列中的两组患者情况相当。从手术角度来看，一日双侧白内障同期手术（SBCS）与传统白内障手术同样安全有效。关键词：一日双侧白内障同期手术（SBCS）、屈光度、视力、术后并发症、眼压
