Simultaneous or sequential surgery

Dave et al . (Arch Ophthalmol. 2010;128(8):1050-4) retrospectively compared sequential versus simultaneous bilateral cataract surgery for infants with congenital cataracts. It was noted that simultaneous bilateral cataract surgery for infants with congenital cataracts is associated with a 21.9% reduction in medical payments and no discernible difference in the incidence of adverse events or visual outcomes.

Nallasamy et al . (JAAPOS 2010;14(1):15-9) reviewed the records of children undergoing simultaneous bilateral intraocular surgery and reported that the surgery was performed safely in 48 cases during a 15-year period.

Magil et al . (Eur J Ophthalmol. 2009;19(1):24-7) retrospectively studied bilateral congenital cataract patients who had undergone cataract extraction from both eyes in a single surgical session. They concluded that simultaneous surgery in bilateral congenital cataract may be taken into consideration, especially in patients with a high anesthesiologic risk profile.

Yu et al . (Eye 2009;23(6):1451-5) described the management of bilateral uneven cataracts treated by sequential IOL implantation. In the same patient, the amblyopic eye with the denser cataract underwent primary IOL implantation, whereas the better eye was temporarily left aphakic as an alternative to patching. A secondary IOL implantation was performed in the aphakic eye when BCVA in the amblyopic eye attained its best potential. They concluded that optical penalization by temporary aphakia of the dominant eye is a convenient means for treating amblyopia in children with bilateral uneven cataracts.

Sinha, Rajesh, et al. “Management of congenital cataract: A review.” Indian Journal of Ophthalmology, vol. 58, no. 6, Nov.-Dec. 2010, p. 563. Gale Academic OneFile, https://link-gale-com.i.ezproxy.nypl.org/apps/doc/A241320149/AONE?u=nypl&sid=AONE&xid=80b30689. Accessed 22 Mar. 2020.