April 2009
Volume 50, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2009
Comparison of Cataract Outcomes When the Initial Post-operative Evaluation Is Performed on Post-operative Day # 0 Versus Post-operative Day # 1
Author Affiliations & Notes
  • S. A. Blatt
    Ophthalmology, Loyola University Medical Center, Maywood, Illinois
  • J. I. Perlman
    Ophthalmology, Loyola University Medical Center, Maywood, Illinois
    Ophthalmology Section/Surgery Service,
    Edward Hines Jr. VA Hospital, Hines, Illinois
  • E. B. Stubbs, Jr.
    Ophthalmology, Loyola University Medical Center, Maywood, Illinois
    Research Service,
    Edward Hines Jr. VA Hospital, Hines, Illinois
  • Footnotes
    Commercial Relationships  S.A. Blatt, None; J.I. Perlman, None; E.B. Stubbs, Jr., None.
  • Footnotes
    Support  The Richard A. Perritt Charitable Foundation
Investigative Ophthalmology & Visual Science April 2009, Vol.50, 5583. doi:
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      S. A. Blatt, J. I. Perlman, E. B. Stubbs, Jr.; Comparison of Cataract Outcomes When the Initial Post-operative Evaluation Is Performed on Post-operative Day # 0 Versus Post-operative Day # 1. Invest. Ophthalmol. Vis. Sci. 2009;50(13):5583.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: : By convention, the follow-up regimen for patients undergoing cataract surgery is at one day, one week and one month following surgery. At Hines VA Eye Clinic, in an attempt to maximize convenience for the patient and minimize travel burden, we have given patients the option of performing the initial post-operative evaluation on the same day of surgery. The purpose of this study is to assess differences in cataract outcomes between same-day versus one-day post-operative visits for initial evaluations.

Methods: : An IRB approved retrospective chart review of 52 eyes (26 per study group) examining differences in post-op outcomes among patients for whom the initial post-op exam was performed on the day of surgery (3-7 hours following surgery) versus the day following surgery. The data examined included pre- and post-op visual acuity (VA; 20/20=1.0), pre- and post-op intraocular pressure in mm Hg (IOP), corneal edema (KE;Scale=0-4), and anterior chamber inflammation (ACI;Scale=0-4). The collected data are from the initial visit (post-op day 0 or post-op day 1), as well as from post-op week 1 and post-op month 1 visits for all patients.

Results: : At initial evaluation: For post-op day # 0 patients, pre-op VA was 0.395 ± 0.198 (Mean=20/50.6); post-op VA was 0.196 ± 0.162 (Mean=20/102.0); pre-op IOP was 15.6 ± 2.8; post-op IOP was 29.6 ± 11.1; KE was 1.36 ± 0.78; and ACI was 1.61 ± 0.68. For post-op day # 1 patients, pre-op VA was 0.624 ± 0.895 (Mean=20/32.1); post-op VA was 0.521 ± 0.266 (Mean=20/38.4); pre-op IOP was 16.1 ± 2.3 ; post-op IOP 21.1 ± 7.7 ; KE was 0.61 ± 0.73; and ACI was 1.61 ± 0.56. At one week post-op: For post-op day # 0 patients, VA was 0.610 ± 0.298 (Mean=20/32.8); IOP was 14.7 ± 3.6; KE 0.46 ± 0.57; and ACI was 0.85 ± 0.77. For post-op day # 1 patients, VA was 0.70 ± 0.236 (Mean=20/28.6); IOP was 16.4 ± 4.3; KE was 0.61 ± 0.62; and ACI was 0.35 ± 0.55. At one month post-op: For post-op day # 0 patients, VA was 0.662 ± 0.292 (Mean=20/30.3); IOP was 14.2 ± 4.7; KE was 0.0 ± 0.0; and ACI was 0.04 ± 0.19. For post-op day # 1 patients, VA was 0.743 ± 0.251 (Mean=20/26.9); IOP was 14.7 ± 2.5; KE was 0.0 ± 0.0; and ACI was 0.0 ± 0.0.

Conclusions: : The initial cataract postoperative evaluation can be safely and effectively performed on the day of surgery, rather than on the day following surgery. There was no significant long term difference in patient outcomes using the same day visit as the initial evaluation. For patients undergoing cataract surgery, same day post-operative visits can be safely employed in order to improve patient convenience and satisfaction.

Keywords: cataract 
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