Abstract

We thank Dr Schachat for his interest in our editorial on (same-day) immediate sequential bilateral cataract surgery. 1 Li O. Kapetanakis V. Claoue C. Simultaneous bilateral endophthalmitis after immediate sequential bilateral cataract surgery: what’s the risk of functional blindness?. Am J Ophthalmol. 2014; 157: 749-751 Abstract Full Text Full Text PDF PubMed Scopus (20) Google Scholar We had hoped that non–cataract specialists such as Dr Schachat, who is a renowned retinal surgeon, would be interested in the subject. Simultaneous Bilateral Endophthalmitis After Immediate Sequential Bilateral Cataract Surgery: What's the Risk of Functional Blindness?American Journal of OphthalmologyVol. 158Issue 2PreviewI applaud Li and associates for their thoughtful discussion concerning the risk of endophthalmitis after immediate bilateral cataract surgery.1 The punch line is this: that in view of burgeoning health care costs and limited resources, the authors believe that the risk of blindness from bilateral endophthalmitis is so low that “widespread introduction of immediate sequential bilateral cataract surgery [I take this to mean same-day bilateral procedures]” is justified. I am not sure I want to explain to the unfortunate bilaterally blind patient my risk/benefit and cost/convenience thinking that leads to the collaborative decision to undertake bilateral simultaneous surgery. Full-Text PDF

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