Purpose

To assess the attitudes and beliefs held toward immediate sequential bilateral cataract surgery (ISBCS), including estimating the incidence of European Society of Cataract and Refractive Surgeons (ESCRS) members currently performing ISBCS, exploring the barriers of ISBCS implementation, and assessing the relevance of these findings to practice in the United Kingdom.

Setting

European consultant members of the ESCRS.

Design

Survey-based questionnaire.

Methods

The survey was sent and collected electronically. An initial screening question directed the rest of the survey; participants were asked to rate the importance of several factors with regard to performing ISBCS. Free text options were also available. Descriptive analysis was performed.

Results

Of the 2200 recipients, 303 (13.7%) responded, of which 247 were eligible for analysis. Of the 247 eligible respondents, 166 (67.2%) reported performing ISBCS, 71 (28.7%) said they did not perform ISBCS, and 10 (4.0%) said they had previously done so but have since stopped. Of those who were currently practicing ISBCS, the three most important factors to consider were all directly related to infection risk. Of those who did not perform ISBCS, the most important reasons for not performing the surgery were a risk for endophthalmitis (69.0%) and the medicolegal issues should ISBCS go wrong (57.8%). The most common reason for stopping ISBCS was that the respondent no longer believed in the benefit of ISBCS (n = 4).

Conclusions

The survey reflects ophthalmologists' concerns regarding infection and medicolegal risks; however, reports of bilateral endophthalmitis are extremely rare when the correct recommendations are followed. The findings from this survey could be used to inform service provision of ISBCS in the U.K., taking into consideration the voices of colleagues overseas.

中文翻译：

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立即进行的顺序性双侧白内障手术：欧洲眼科外科医生的基本原理，实施和信念

目的

评估对立即进行顺序性白内障白内障手术（ISBCS）的态度和信念，包括估计目前正在执行ISBCS的欧洲白内障和屈光外科医师学会（ESCRS）成员的发病率，探讨ISBCS实施的障碍，并评估这些相关性在英国实践的发现。

设置

ESCRS的欧洲顾问成员。

设计

基于调查的问卷。

方法

调查以电子方式发送和收集。最初的筛选问题指导了其余的调查。要求参与者对执行ISBCS的几个因素的重要性进行评分。也提供免费文本选项。进行描述性分析。

结果

在2200位接受者中，有303位（13.7％）做出了回应，其中247位有资格进行分析。在247位合格的受访者中，有166位（67.2％）表示执行了ISBCS，有71位（28.7％）表示他们没有执行ISBCS，还有10位（4.0％）表示他们以前曾执行过ISBCS，但此后停止了。在目前正在实施ISBCS的人群中，要考虑的三个最重要因素都与感染风险直接相关。在未进行ISBCS手术的患者中，未进行手术的最重要原因是眼内炎的风险（69.0％）和ISBCS出问题时的法医学问题（57.8％）。停止ISBCS的最常见原因是受访者不再相信ISBCS的益处（n = 4）。

结论

该调查反映了眼科医生对感染和法医学风险的担忧；但是，如果遵循正确的建议，则很少有双侧眼内炎的报道。考虑到海外同事的意见，本次调查的结果可用于为ISBCS在英国的服务提供信息。