SIMULTANEOUS BILATERAL CATARACT-EXTRACTION IN THE UK

Aims/Background-Simultaneous bilateral extracapsular cataract extracti on (SBCE) is not routinely performed in the developed world. This stud y investigated the safety and efficacy of this procedure as performed in the UK. Methods-A review of 319 consecutive patients (638 eyes) who underwent SBCE with posterior chamber intraocular lens implantation i s presented. Results-The incidence of intraoperative complications was 7.7%. These included posterior capsule rupture (0.8%) acid vitreous l oss (0.3%). Postoperative complications were seen in 8.7% of operated eyes and included iris prolapse (0.3%) and raised intraocular pressure (3.0%). Endophthalmitis occurred in one eye (0.15%). There were no ma jor bilateral complications, and, in particular, no cases of bilateral endophthalmitis. Final visual acuities compared favourably with repor ts for unilateral surgery. Eighty two per cent achieved a final visual acuity of 6/12 or better, and 41% tested 6/6 or better. Conclusion-Th is study illustrates that SBCE is not associated with an increased inc idence of complications and that the visual results are good. Where in dicated, and under strict surgical protocol, this procedure is safe.