Value of first-day postoperative visit after cataract surgery

Journal français d'ophtalmologie
J TilleulG Chaine

Abstract

In France in 2009, newly operated patients after cataract surgery are usually seen by their surgeon the day after surgery (D1). The value of this day-after visit has been undergoing reassessment for some years, but this visit remains in widespread use in France. The aim of this study was to assess whether this visit changes patient management. One hundred three consecutive patients (106 eyes) undergoing cataract surgery by phacoemulsification were prospectively treated in our department (82% were outpatients). All intraoperative events were noted. The day after surgery, we monitored ocular tension, the anterior segment, and the fundus. Every change in the postoperative prescription compared with a standard prescription was noted. Intraoperative complications occurred in eight cases. On D1, six patients had ocular hypertension that exceeded 24 mmHg, 14 had a corneal edema, six had corneal erosion, two had a Seidel, one had an anterior subluxation of the IOL, and one had retinal detachment. In 26 cases (24.5%), the prescription was changed compared to our standard prescription. Several studies have shown that the day-after-surgery visit was not mandatory. The main objective of this visit is to check for ocular hypertension. More ...Continue Reading

References

Feb 1, 1996·The British Journal of Ophthalmology·L WhitefieldB C Little
Jul 1, 1997·The British Journal of Ophthalmology·B D AllanJ K Dart
Jul 15, 1999·Journal of Cataract and Refractive Surgery·E N HerbertD W Flanagan
Mar 29, 2003·Journal of Cataract and Refractive Surgery·Paris G TranosBrian C Little
Sep 3, 2004·Journal of Cataract and Refractive Surgery·Kaveri MandalDavid H W Steel
Sep 25, 2007·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Dena S HammoudiDavid T Wong
Oct 30, 2007·Journal of Cataract and Refractive Surgery·Bradford J ShingletonMark W O'Donoghue

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Citations

Apr 26, 2016·Acta Ophthalmologica·Susanna Porela-TiihonenMerja Kokki

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