title: Pros and cons of immediately sequential bilateral cataract surgery (ISBCS).
abstract: Immediately sequential bilateral cataract surgery (ISBCS) is currently a "hot topic" in ophthalmology. There are well-documented advantages in terms of quicker visual rehabilitation and reduced costs. The risk of bilateral simultaneous endophthalmitis and bilateral blindness is now recognized to be minuscule with the advent of intracameral antibiotics and modern management of endophthalmitis. Refractive surprises are rare for normal eyes and with the use of optical biometry. Where a general anesthetic is indicated for cataract surgery, the risk of death from a second anesthetic is much higher than the risk of blindness. A widely recognized protocol from the International Society of Bilateral Cataract Surgeons needs to be adhered to if surgeons wish to start practicing ISBCS.
authors.affiliation: Department of Ophthalmology, Poznan City Hospital, Poznań, Poland; Chair of Ophthalmology, University of Warmia and Mazury, Olsztyn, Poland.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Grzybowski
authors.affiliation: Chair of Ophthalmology, University of Warmia and Mazury, Olsztyn, Poland.
authors.forename: Weronika
authors.initials: W
authors.lastname: Wasinska-Borowiec
authors.affiliation: Queen's Hospital London, BHR University Hospitals, United Kingdom.
authors.forename: Charles
authors.initials: C
authors.lastname: Claoué
keywords: Advantages and disadvantages; Immediately sequential bilateral cataract surgery; Simultaneous bilateral cataract surgery