First postoperative day review after uneventful phacoemulsification cataract surgery: is it necessary?
BACKGROUND
Our purpose was to examine the value of the first postoperative day review after uneventful phacoemulsification cataract surgery.


METHODS
291 patients who underwent uneventful phacoemulsification were randomized into two groups (ClinicalTrials.gov Identifier: NCT01247155): i) Next day review (NDR group, n = 146) and ii) No next day review (NNDR group, n = 145). The rate of complications, percentage of patients seeking non-scheduled medical consultation up to postoperative day 14, presence of any inflammation-related sign and best corrected visual acuity (BCVA) on postoperative day 28 were analyzed.


RESULTS
In the NDR group, 5.5% of patients developed a postoperative complication, whereas the respective rate was 6.2% in the NNDR group. The difference was not statistically significant (p = 0.791). The most frequent complications were: elevated intraocular pressure, allergy to postoperative treatment, corneal abrasion, punctuate epitheliopathy, iris prolapse and postoperative hyphema, whose rates did not differ between the two groups. The rate of patients seeking non-scheduled medical consultation up to postoperative day 14, presence of any inflammation-related sign, as well as BCVA on day 28 did not exhibit any significant differences between the study groups.


CONCLUSIONS
First postoperative day review could be omitted in cases of uneventful cataract surgery.
Department of Ophthalmology, General Hospital of Veroia, Veroia, Greece. eirchat@yahoo.gr
Irini P
IP
Chatziralli
Theodoros N
TN
Sergentanis
Evgenia
E
Kanonidou
Leonidas
L
Papazisis
D000368:Aged; D002387:Cataract Extraction / Q000009:adverse effects; D005260:Female; D006801:Humans; D008297:Male; D018918:Phacoemulsification / Q000009:adverse effects; D011183:Postoperative Complications / Q000209:etiology; D011184:Postoperative Period; D016896:Treatment Outcome