Evidence map›Paper›PMID 40163199›Full record

Observational studyInternational ophthalmology2025

Refractive outcomes and safety profile after sequential bilateral cataract surgery.

Miguel Omar Ibañez-Esparza, Fernando Mora-González, Beatriz Alvarado-Castillo, Gabriela Estefanía Ibarra-Elizalde, Miguel Ángel Castro-Monreal, Roberto González-Salinas, Miguel Ángel Ibañez-Hernández

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in International ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Observational
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Miguel Omar Ibañez-EsparzaOphthalmology Unit, Hospital de Especialidades Puerta de Hierro, Zapopan, Jalisco, Mexico. miguel.ibanez27@gmail.com.ORCID http://orcid.org/0000-0001-7464-443X
Fernando Mora-GonzálezOphthalmology Unit, Hospital de Especialidades Puerta de Hierro, Zapopan, Jalisco, Mexico.ORCID http://orcid.org/0000-0003-4793-5682
Beatriz Alvarado-CastilloAnterior Segment Surgery Department, High Specialty Medical Unit, Centro Médico Nacional de Occidente, Guadalajara, Jalisco, México.
Gabriela Estefanía Ibarra-ElizaldeOphthalmology Department, Real San José Valle Real Hospital, Zapopan, Jalisco, Mexico.ORCID http://orcid.org/0000-0002-9548-9413
Miguel Ángel Castro-MonrealAnterior Segment Surgery Department, Hospital "Luis Sánchez Bulnes" Asociación Para Evitar La Ceguera en México I.A.P., Mexico City, Mexico.ORCID http://orcid.org/0000-0001-6978-8180
Roberto González-SalinasAnterior Segment Surgery Department, Hospital "Luis Sánchez Bulnes" Asociación Para Evitar La Ceguera en México I.A.P., Mexico City, Mexico.ORCID http://orcid.org/0000-0001-6654-5191
Miguel Ángel Ibañez-HernándezOphthalmology Unit, Hospital de Especialidades Puerta de Hierro, Zapopan, Jalisco, Mexico.ORCID http://orcid.org/0000-0003-4337-1349

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the safety and effectiveness of simultaneous bilateral cataract surgery (SBCS) in a private ophthalmology clinic, focusing on postoperative refractive outcomes, visual acuity, and the incidence of complications.

methodsThis observational, retrospective study included 200 eyes from 100 patients who underwent SBCS between January 2018 and April 2020. Preoperative evaluations comprised visual acuity, refraction, biometry, and anterior segment examinations. Surgeries were performed sequentially by a single surgeon using femtosecond laser-assisted or stop-and-chop techniques, with adherence to iSBCS guidelines. Postoperative care included topical antibiotics and steroids, with follow-up at one day and four weeks. Safety outcomes included the incidence of complications, particularly Toxic Anterior Segment Syndrome (TASS), while effectiveness was assessed by postoperative visual acuity and refraction.

resultsPostoperative complications were observed in 2.5% of cases, including two cases of unilateral TASS, one case of corneal edema, one reactivation of diabetic macular edema, and one of ocular hypertension. All complications were resolved with medical management, and no cases of endophthalmitis were reported. Visual acuity improved significantly, with all eyes achieving 0.096 logMAR or better by week four. Refractive outcomes showed high accuracy, with no significant refractive surprises.

conclusionsSBCS is a safe and effective procedure, delivering excellent visual and refractive outcomes. The incidence of complications, including TASS, was low, and all cases were successfully managed. This approach can be a viable alternative for patients with bilateral cataracts, particularly in settings with strict adherence to sterilization and surgical protocols.

Indexed as

CataractCataract ExtractionPostoperative ComplicationsRefraction, OcularVisual AcuityAgedAged, 80 and overFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesImmediate Sequential Bilateral Cataract SurgeryiSBCS safetyRefractive OutcomesToxic Anterior Segment Syndrome

Identifiers

PMID40163199

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.