Tavolato Marco, Modugno Rocco, Giglio Rosa, Inferrera Leandro, Tognetto Daniele
Ophthalmology Unit, Camposampiero Hospital, Padova, Italy.
Department of Medical, Surgical Sciences and Health, University of Trieste, Trieste, Italy.
Eur J Ophthalmol. 2025 Mar;35(2):531-536. doi: 10.1177/11206721241272156. Epub 2024 Aug 6.
to investigate the existing practice patterns of immediate sequential bilateral cataract surgery (ISBCS) in Italy and to assess ophthalmologists' attitudes towards performing ISBCS in the future for cataract treatment.
It is a multicenter cross-sectional study. From February,1 2023 to March, 1 2023 the Members of the Italian Society of Cataract and Refractive Surgery (AICCER) as well as the attendees of its annual national congress were invited to anonymously complete an electronic 7-item questionnaire on their current ICBCS practice. Questions included the average number of procedures per month, the main indications for ICBCS, and the main reasons for performing and not performing ISBCS. Data were analyzed using descriptive statistics.
of the 2300 recipients, 246 (10.7%) completed the survey. Of the respondents, 156 (63.4%) replied to perform ISBCS, most of them (82%) occasionally (1 to 5 procedures per month). Fifty-three percent (130 ophthalmologists) considered adopting ISBCS as routine practice in the near future. The conditions most considered for ISBCS were age-related cataract surgery under general and topical anesthesia and congenital cataract surgery. The availability of separate instruments for the two eyes as well as patient and hospital advantages were the most important reasons for performing ISBCS. The risk of bilateral endophthalmitis and medicolegal issues were the main reasons for not performing ISBCS.
ISBCS remains controversial among Italian surgeons, despite growing evidence of its safety and efficacy. The risk of potentially blinding complications such as bilateral endophthalmitis, together with medicolegal concerns are the principal barriers to ISBCS implementation in routine practice.
调查意大利即刻连续双眼白内障手术（ISBCS）的现有实践模式，并评估眼科医生未来对采用ISBCS治疗白内障的态度。
这是一项多中心横断面研究。2023年2月1日至2023年3月1日，邀请意大利白内障与屈光手术学会（AICCER）成员及其年度全国大会的参会者匿名填写一份关于他们当前ISBCS实践的7项电子问卷。问题包括每月手术的平均数量、ISBCS的主要适应证以及进行和不进行ISBCS的主要原因。使用描述性统计方法分析数据。
在2300名接收者中，246人（10.7%）完成了调查。在受访者中，156人（63.4%）回复称进行ISBCS，其中大多数人（82%）偶尔进行（每月1至5例手术）。53%（130名眼科医生）考虑在不久的将来将ISBCS作为常规做法。ISBCS最常考虑的情况是全身麻醉和表面麻醉下的年龄相关性白内障手术以及先天性白内障手术。两眼使用单独器械的可用性以及患者和医院的优势是进行ISBCS的最重要原因。双侧眼内炎的风险和医疗法律问题是不进行ISBCS的主要原因。
尽管越来越多的证据表明ISBCS具有安全性和有效性，但在意大利外科医生中仍存在争议。双侧眼内炎等潜在致盲并发症的风险以及医疗法律问题是在常规实践中实施ISBCS的主要障碍。
