Second-eye cataract surgery – Epidemiological, clinical, and therapeutic factors among patients utilizing outreach surgical facilities
Background: Visual improvement after cataract surgery in one eye diminishes the incentive for second-eye cataract surgery (SECS). Aims: The study aimed to determine if patients report for SECS with more advanced cataracts and to explore the time gap between first-eye and SECS and factors influencing...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-07-01
|
| Series: | Journal of Clinical Ophthalmology and Research |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jcor.jcor_33_25 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850037236549025792 |
|---|---|
| author | Stephanie Sebastian Swathi Nagarajan A. R. Rajalakshmi Kirti Nath Jha |
| author_facet | Stephanie Sebastian Swathi Nagarajan A. R. Rajalakshmi Kirti Nath Jha |
| author_sort | Stephanie Sebastian |
| collection | DOAJ |
| description | Background:
Visual improvement after cataract surgery in one eye diminishes the incentive for second-eye cataract surgery (SECS).
Aims:
The study aimed to determine if patients report for SECS with more advanced cataracts and to explore the time gap between first-eye and SECS and factors influencing it.
Subjects and Methods:
This prospective observational study was conducted in a tertiary care teaching hospital. Adults with defective vision primarily due to cataract and requiring surgery were included. Patient demographics, ocular and systemic conditions, and perioperative findings were compared between “first-eye cataract surgery” group and “SECS” group. Time elapsed since first-eye surgery and reasons thereof were analyzed in the SECS group.
Statistical Analysis Used:
The Mann–Whitney U-test and Fisher’s exact test were used.
Results:
Of 891 eyes operated, 376 (42.2%) were SECS. The frequency of advanced cataracts was comparable between the groups (P = 0.11), while the presence of ocular comorbidities was significantly lower in the SECS group (P < 0.05). Both the groups encountered similar intraoperative (P = 0.72) and postoperative (P = 0.13) complications. Postoperative corrected distance visual acuity was significantly better in the SECS group (P = 0.007). The mean time interval between first-eye and SECS was 2.07 ± 1.8 years. Longer time to SECS was associated with increased incidence of intraoperative complications (P = 0.04). Reasons for the time interval to SECS included “good vision in fellow eye,” “nonavailability of a responsible caregiver,” and “unsatisfactory outcomes with first-eye surgery.”
Conclusions:
Patients undergoing SECS did not have a higher incidence of advanced cataracts. Almost half the patients reported within 1 year from first-eye surgery. Experience of first-eye surgery influenced the decision to undergo SECS. |
| format | Article |
| id | doaj-art-0152ea6456bf4bb9b102047bbf87499c |
| institution | DOAJ |
| issn | 2320-3897 2320-3900 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Clinical Ophthalmology and Research |
| spelling | doaj-art-0152ea6456bf4bb9b102047bbf87499c2025-08-20T02:56:55ZengWolters Kluwer Medknow PublicationsJournal of Clinical Ophthalmology and Research2320-38972320-39002025-07-0113332032610.4103/jcor.jcor_33_25Second-eye cataract surgery – Epidemiological, clinical, and therapeutic factors among patients utilizing outreach surgical facilitiesStephanie SebastianSwathi NagarajanA. R. RajalakshmiKirti Nath JhaBackground: Visual improvement after cataract surgery in one eye diminishes the incentive for second-eye cataract surgery (SECS). Aims: The study aimed to determine if patients report for SECS with more advanced cataracts and to explore the time gap between first-eye and SECS and factors influencing it. Subjects and Methods: This prospective observational study was conducted in a tertiary care teaching hospital. Adults with defective vision primarily due to cataract and requiring surgery were included. Patient demographics, ocular and systemic conditions, and perioperative findings were compared between “first-eye cataract surgery” group and “SECS” group. Time elapsed since first-eye surgery and reasons thereof were analyzed in the SECS group. Statistical Analysis Used: The Mann–Whitney U-test and Fisher’s exact test were used. Results: Of 891 eyes operated, 376 (42.2%) were SECS. The frequency of advanced cataracts was comparable between the groups (P = 0.11), while the presence of ocular comorbidities was significantly lower in the SECS group (P < 0.05). Both the groups encountered similar intraoperative (P = 0.72) and postoperative (P = 0.13) complications. Postoperative corrected distance visual acuity was significantly better in the SECS group (P = 0.007). The mean time interval between first-eye and SECS was 2.07 ± 1.8 years. Longer time to SECS was associated with increased incidence of intraoperative complications (P = 0.04). Reasons for the time interval to SECS included “good vision in fellow eye,” “nonavailability of a responsible caregiver,” and “unsatisfactory outcomes with first-eye surgery.” Conclusions: Patients undergoing SECS did not have a higher incidence of advanced cataracts. Almost half the patients reported within 1 year from first-eye surgery. Experience of first-eye surgery influenced the decision to undergo SECS.https://journals.lww.com/10.4103/jcor.jcor_33_25barriers to cataract surgeryindicators of cataract surgerymanual small incision cataract surgeryoutcome of cataract surgerysecond-eye surgerytime gap |
| spellingShingle | Stephanie Sebastian Swathi Nagarajan A. R. Rajalakshmi Kirti Nath Jha Second-eye cataract surgery – Epidemiological, clinical, and therapeutic factors among patients utilizing outreach surgical facilities Journal of Clinical Ophthalmology and Research barriers to cataract surgery indicators of cataract surgery manual small incision cataract surgery outcome of cataract surgery second-eye surgery time gap |
| title | Second-eye cataract surgery – Epidemiological, clinical, and therapeutic factors among patients utilizing outreach surgical facilities |
| title_full | Second-eye cataract surgery – Epidemiological, clinical, and therapeutic factors among patients utilizing outreach surgical facilities |
| title_fullStr | Second-eye cataract surgery – Epidemiological, clinical, and therapeutic factors among patients utilizing outreach surgical facilities |
| title_full_unstemmed | Second-eye cataract surgery – Epidemiological, clinical, and therapeutic factors among patients utilizing outreach surgical facilities |
| title_short | Second-eye cataract surgery – Epidemiological, clinical, and therapeutic factors among patients utilizing outreach surgical facilities |
| title_sort | second eye cataract surgery epidemiological clinical and therapeutic factors among patients utilizing outreach surgical facilities |
| topic | barriers to cataract surgery indicators of cataract surgery manual small incision cataract surgery outcome of cataract surgery second-eye surgery time gap |
| url | https://journals.lww.com/10.4103/jcor.jcor_33_25 |
| work_keys_str_mv | AT stephaniesebastian secondeyecataractsurgeryepidemiologicalclinicalandtherapeuticfactorsamongpatientsutilizingoutreachsurgicalfacilities AT swathinagarajan secondeyecataractsurgeryepidemiologicalclinicalandtherapeuticfactorsamongpatientsutilizingoutreachsurgicalfacilities AT arrajalakshmi secondeyecataractsurgeryepidemiologicalclinicalandtherapeuticfactorsamongpatientsutilizingoutreachsurgicalfacilities AT kirtinathjha secondeyecataractsurgeryepidemiologicalclinicalandtherapeuticfactorsamongpatientsutilizingoutreachsurgicalfacilities |