Abstract
BackgroundOur purpose was to examine the value of the first postoperative day review after uneventful phacoemulsification cataract surgery.Methods291 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.ResultsIn 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.ConclusionsFirst postoperative day review could be omitted in cases of uneventful cataract surgery.
Highlights
Our purpose was to examine the value of the first postoperative day review after uneventful phacoemulsification cataract surgery
Under the light of the above, the purpose of this randomized trial was to examine the value of the review on the first-postoperative day after uneventful phacoemulsification cataract surgery
Three outcomes were adopted in this study, so as to yield a global, comprehensive approach: i. percentage of patients seeking non-scheduled medical consultation up to postoperative day 14, ii. presence of any inflammation-related signs [10] on postoperative day 28 and iii. best corrected visual acuity (BCVA) on postoperative day 28
Summary
Our purpose was to examine the value of the first postoperative day review after uneventful phacoemulsification cataract surgery. Phacoemulsification and recent advances in cataract surgery techniques lead to improved postoperative outcomes, as well as to reduced intra- and postoperative complications [2,3]. There is a tendency in discharging patients on the same day of surgery, without first day postoperative review [3,4,5,6], which is considered to be an increasing issue due to economic reasons. Routine review on the first day postoperatively has several advantages, such as the early detection of. Under the light of the above, the purpose of this randomized trial was to examine the value of the review on the first-postoperative day after uneventful phacoemulsification cataract surgery. Percentage of patients seeking non-scheduled medical consultation up to postoperative day 14, ii. Three outcomes were adopted in this study, so as to yield a global, comprehensive approach: i. percentage of patients seeking non-scheduled medical consultation up to postoperative day 14, ii. presence of any inflammation-related signs (corneal edema, Tyndall effect, conjunctival hyperemia) [10] on postoperative day 28 and iii. best corrected visual acuity (BCVA) on postoperative day 28
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